Katherine Rm Bloise, MD in Port Orchard, WA

Katherine Rm Bloise, MD is a medicare enrolled "Family Medicine" physician in Port Orchard, Washington. Her current practice location is 1400 Pottery Ave, Port Orchard, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 895-5000.

Katherine Rm Bloise is licensed to practice in Washington (license number MD61223493) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699859660.

Contact Information

	Katherine Rm Bloise, MD
	1400 Pottery Ave, Port Orchard, WA 98366-3711
	(360) 895-5000
	(360) 895-5034

Map and Direction

Physician's Profile

Full Name	Katherine Rm Bloise
Gender	Female
Speciality	Family Medicine
Location	1400 Pottery Ave, Port Orchard, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699859660
Provider Enumeration Date: 10/25/2006
Last Update Date: 03/17/2022

Medicare PECOS Information:

PECOS PAC ID: 6305032715
Enrollment ID: I20101124000881

Medical Identifiers

Medical identifiers for Katherine Rm Bloise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699859660	NPI	-	NPPES
00G693570	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61223493 (Washington)	Primary
207Q00000X	Family Medicine	G69357 (California)	Secondary

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. Katherine Rm Bloise allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Katherine Rm Bloise 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
Katherine Rm Bloise, MD 1400 Pottery Ave, Port Orchard, WA 98366-3768 Ph: (360) 895-5000	Katherine Rm Bloise, MD 1400 Pottery Ave, Port Orchard, WA 98366-3711 Ph: (360) 895-5000

Reviews and Comments

Family Medicine Doctors in Port Orchard, WA

Ifesinachi S Oguakwa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 So Kitsap Blvd, Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270
Melissa Ayn Meyer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4680 Fax: 360-895-4709
Daniel Eldredge Diamond, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 S Kitsap Blvd, Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270
Christine Agbayani Lomotan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000
Robert R Rankin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 So. Kitsap Blvd., Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6188
William E Underdown, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 So. Kitsap Blvd., Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6188
Emily Assavapisitkul, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 Fax: 877-516-9023

Katherine Rm Bloise, MD - Medicare Family Medicine in Port Orchard, WA