Dr Steven James Blackthorne, MD is a medicare enrolled "Emergency Medicine" physician in Seaside, Oregon. His current practice location is
725 S Wahanna Rd, Seaside, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 717-7000.
Dr Steven James Blackthorne is licensed to practice in Oregon (license number MD 04851) 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 1013985449.
Physician's Profile
Full Name | Dr Steven James Blackthorne |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 725 S Wahanna Rd, Seaside, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013985449
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446210157
- Enrollment ID: I20041018000358
Medical Identifiers
Medical identifiers for Dr Steven James Blackthorne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013985449 | NPI | - | NPPES |
MD 04851 | Other | OR | MEDICAL LICENSE |
068957 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD 04851 (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 Steven James Blackthorne allows following entities to bill medicare on his behalf.
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
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Entity Name | Providence Health & Services Oregon |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20061104000573 |
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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 Steven James Blackthorne 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 Steven James Blackthorne, MD 725 S Wahanna Rd, Seaside, OR 97138-7735 Ph: (503) 717-7000 | Dr Steven James Blackthorne, MD 725 S Wahanna Rd, Seaside, OR 97138-7735 Ph: (503) 717-7000 |
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