Dr Timothy Edelblute, MD in Salem, OR - Medicare Emergency Medicine

Dr Timothy Edelblute, MD is a medicare enrolled "Emergency Medicine" physician in Salem, Oregon. His current practice location is 665 Winter St Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 561-5634.

Dr Timothy Edelblute is licensed to practice in Oregon (license number MD20678) 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 1407969116.

Contact Information

	Dr Timothy Edelblute, MD
	665 Winter St Se, Salem, OR 97301-3919
	(503) 561-5634
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Timothy Edelblute
Gender	Male
Speciality	Emergency Medicine
Location	665 Winter St Se, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407969116
Provider Enumeration Date: 08/16/2006
Last Update Date: 12/04/2007

Medicare PECOS Information:

PECOS PAC ID: 3870760945
Enrollment ID: I20120113000266

Medical Identifiers

Medical identifiers for Dr Timothy Edelblute such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407969116	NPI	-	NPPES
G57684	Other		GROUP HEALTH
A045	Other		CHAMPUS
150406	Medicaid	OR
150406	Other		MARION POLK CHP
8363673	Medicaid	WA
G57684	Other		PROVIDENCE
XPY198713	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD20678 (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 Timothy Edelblute allows following entities to bill medicare on his behalf.

Entity Name	Salem Emergency Physicians Service, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063454395 PECOS PAC ID: 8628061124 Enrollment ID: O20040408000014

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 Timothy Edelblute 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 Timothy Edelblute, MD Po Box 2505, Salem, OR 97308-2505 Ph: (888) 828-3198	Dr Timothy Edelblute, MD 665 Winter St Se, Salem, OR 97301-3919 Ph: (503) 561-5634

Reviews and Comments

Emergency Medicine Doctors in Salem, OR

Jordan L Barnhart, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se, Building 'a', Salem, OR 97301 Phone: 503-814-1278
Jacob Vanderstarre, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se Bldg A, Salem, OR 97301 Phone: 855-691-9890
Dr. Charles Wilson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634
Brian Murray Auld, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3621 Elderberry Dr S, Salem, OR 97302 Phone: 503-580-9228
Dr. Lazeni Koulibali, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634
Trevor Grant Phillips, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem Emergency Physicians C/o Ed - Salem Hospital 'a', Salem, OR 97301 Phone: 503-561-5634
Michael Barr, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634

Dr Timothy Edelblute, MD - Medicare Emergency Medicine in Salem, OR