Dr Carl Edward Thornblade, MD is a medicare enrolled "Allergy & Immunology" physician in Missoula, Montana. He went to University Of Pittsburgh School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Carl Thornblade, Md, Pllc and his current practice location is
2801 Great Northern Loop, Suite 101, Missoula, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 728-6472.
Dr Carl Edward Thornblade is licensed to practice in Montana (license number 11594) 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 1073605200.
Physician's Profile
| Full Name | Dr Carl Edward Thornblade |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 28 Years |
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| Location | 2801 Great Northern Loop, Missoula, Montana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Carl Edward Thornblade attended and graduated from University Of Pittsburgh School Of Medicine in 1997
NPI Data:
- NPI Number: 1073605200
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 07/31/2015
Medicare PECOS Information:
- PECOS PAC ID: 7810067022
- Enrollment ID: I20080530000343
Medical Identifiers
Medical identifiers for Dr Carl Edward Thornblade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073605200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | D0062345 (Maryland) | Secondary |
| 207K00000X | Allergy & Immunology | 11594 (Montana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carl Thornblade, Md, Pllc | 3375613342 | 4 |
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. Dr Carl Edward Thornblade allows following entities to bill medicare on his behalf.
| Entity Name | Carl Thornblade, Md, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750557690
PECOS PAC ID: 3375613342
Enrollment ID: O20080603000067 |
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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. Dr Carl Edward Thornblade 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 Address | Practice Location Address |
|---|
Dr Carl Edward Thornblade, MD
2801 Great Northern Loop, Suite 101,
Missoula, MT 59808-1745
Ph: (406) 728-6472 | Dr Carl Edward Thornblade, MD
2801 Great Northern Loop, Suite 101,
Missoula, MT 59808-1745
Ph: (406) 728-6472 |
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