Dr Matthew Blackburn, MD in Portland, OR - Medicare Internal Medicine

Dr Matthew Blackburn, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Portland, Oregon. His current practice location is 1130 Nw 22nd Ave Ste 150, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (971) 262-9600.

Dr Matthew Blackburn is licensed to practice in Oregon (license number MD214431) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376076828.

Contact Information

	Dr Matthew Blackburn, MD
	1130 Nw 22nd Ave Ste 150, Portland, OR 97210-2974
	(971) 262-9600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Matthew Blackburn
Gender	Male
Speciality	Internal Medicine - Medical Oncology
Location	1130 Nw 22nd Ave Ste 150, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376076828
Provider Enumeration Date: 04/11/2017
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 1254792542
Enrollment ID: I20230802004350

Medical Identifiers

Medical identifiers for Dr Matthew Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376076828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD214431 (Oregon)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	MD214431 (Oregon)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	MD214431 (Oregon)	Primary

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 Matthew Blackburn allows following entities to bill medicare on his behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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 Matthew Blackburn 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 Matthew Blackburn, MD 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (866) 617-6855	Dr Matthew Blackburn, MD 1130 Nw 22nd Ave Ste 150, Portland, OR 97210-2974 Ph: (971) 262-9600

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
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Ginevra Lois Liptan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Dr Matthew Blackburn, MD - Medicare Internal Medicine in Portland, OR