Douglas P Blackall, MD - Medicare Pathology in Portland, OR

Douglas P Blackall, MD is a medicare enrolled "Pathology - Clinical Pathology" physician in Portland, Oregon. He went to University Of Arkansas College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Providence Health And Services Oregon, Providence Health And Services - Oregon, Providence Health And Services Oregon, Providence Health And Services Oregon, Providence Health And Services Oregon and his current practice location is 4805 Ne Glisan St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-6096.

Douglas P Blackall is licensed to practice in Oregon (license number MD202871) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891885380.

Contact Information

Douglas P Blackall, MD
4805 Ne Glisan St,
Portland, OR 97213-2933
(503) 215-6096
Not Available

Map and Direction




Physician's Profile

Full NameDouglas P Blackall
GenderMale
SpecialityPathology
Experience36 Years
Location4805 Ne Glisan St, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas P Blackall attended and graduated from University Of Arkansas College Of Medicine in 1988
  NPI Data:
  • NPI Number: 1891885380
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 01/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0840192274
  • Enrollment ID: I20210114001726

Medical Identifiers

Medical identifiers for Douglas P Blackall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891885380NPI-NPPES
152157001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZB0001XPathology - Blood Banking & Transfusion Medicine MD202871 (Oregon)Secondary
207ZB0001XPathology - Blood Banking & Transfusion Medicine C-7459 (Arkansas)Secondary
207ZP0105XPathology - Clinical Pathology/laboratory Medicine C-7459 (Arkansas)Secondary
207ZC0006XPathology - Clinical Pathology MD202871 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Portland Medical CenterPortland, ORHospital
Providence St Vincent Medical CenterPortland, ORHospital
Providence Willamette Falls Medical CenterOregon city, ORHospital
Providence Medford Medical CenterMedford, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon347645056036
Providence Health And Services - Oregon529490192251
Providence Health And Services Oregon5395656284115
Providence Health And Services Oregon731585601065
Providence Health And Services Oregon9335057447137

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas P Blackall allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093976243
PECOS PAC ID: 3476450560
Enrollment ID: O20031217000186
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366536963
PECOS PAC ID: 6103728753
Enrollment ID: O20040123000371
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952482275
PECOS PAC ID: 3072415652
Enrollment ID: O20040123000519
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053862714
PECOS PAC ID: 7315856010
Enrollment ID: O20040304001330
Entity NameProvidence Health & Services - Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912282369
PECOS PAC ID: 5294901922
Enrollment ID: O20120319000430

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas P Blackall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Douglas P Blackall, MD
Po Box 3395,
Portland, OR 97208-3395

Ph: (503) 215-6023
Douglas P Blackall, MD
4805 Ne Glisan St,
Portland, OR 97213-2933

Ph: (503) 215-6096

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.