Randall E Blome, MD in Grand Ronde, OR - Medicare Family Practice

Randall E Blome, MD is a medicare enrolled "Family Medicine" physician in Grand Ronde, Oregon. He went to University Of Toledo College Of Medicine and graduated in 1986 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Confederated Tribes Of The Grand Ronde Community Of Oregon and his current practice location is 9605 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 879-2002.

Randall E Blome is licensed to practice in Oregon (license number MD17595) 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 1861457384.

Contact Information

	Randall E Blome, MD
	9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712
	(503) 879-2002
	(503) 879-2015

Map and Direction

Physician's Profile

Full Name	Randall E Blome
Gender	Male
Speciality	Family Practice
Experience	39 Years
Location	9605 Grand Ronde Rd, Grand Ronde, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Randall E Blome attended and graduated from University Of Toledo College Of Medicine in 1986

NPI Data:

NPI Number: 1861457384
Provider Enumeration Date: 04/18/2006
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9830222504
Enrollment ID: I20100802000365

Medical Identifiers

Medical identifiers for Randall E Blome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861457384	NPI	-	NPPES
0200572	Other	WA	WA LABOR & INDUSTRIES
034558	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD17595 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willamette Valley Medical Center	Mcminnville, OR	Hospital
Samaritan North Lincoln Hospital	Lincoln city, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Confederated Tribes Of The Grand Ronde Community Of Oregon	6103717277	14

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. Randall E Blome allows following entities to bill medicare on his behalf.

Entity Name	Confederated Tribes Of The Grand Ronde Community Of Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174666358 PECOS PAC ID: 6103717277 Enrollment ID: O20040320000494

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. Randall E Blome 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
Randall E Blome, MD 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002	Randall E Blome, MD 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002

Reviews and Comments

Family Medicine Doctors in Grand Ronde, OR

Carolyn S Fairfax, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071
Brianna Wing, NP, RN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002
Lance Gregory Loberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002

Randall E Blome, MD - Medicare Family Practice in Grand Ronde, OR