Angela Massoni-blaine, - Medicare Nurse Practitioner in Portland, OR

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Angela Massoni-blaine, is a medicare enrolled "Nurse Practitioner - Adult Health" in Portland, Oregon. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Clinics Llc and her current practice location is 2222 Nw Lovejoy St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 413-8036.

Angela Massoni-blaine is licensed to practice in Oregon (license number 201910414NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043649908.

Contact Information

Angela Massoni-blaine,
2222 Nw Lovejoy St,
Portland, OR 97210-3033
(503) 413-8036
Not Available

Map and Direction




Provider's Profile

Full NameAngela Massoni-blaine
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location2222 Nw Lovejoy St, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Angela Massoni-blaine graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1043649908
  • Provider Enumeration Date: 11/01/2013
  • Last Update Date: 08/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9234361825
  • Enrollment ID: I20200414003476

Medical Identifiers

Medical identifiers for Angela Massoni-blaine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043649908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 23638 (California)Secondary
363LA2200XNurse Practitioner - Adult Health 201910414NP-PP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Clinics Llc0244144004633

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. Angela Massoni-blaine allows following entities to bill medicare on her behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089
Entity NameMultnomah County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609914787
PECOS PAC ID: 6608771787
Enrollment ID: O20031203000025
Entity NameSilverton Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669424354
PECOS PAC ID: 8921901877
Enrollment ID: O20040129000172

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. Angela Massoni-blaine 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 AddressPractice Location Address
Angela Massoni-blaine,
2222 Nw Lovejoy St,
Portland, OR 97210-3033

Ph: (503) 413-8036		Angela Massoni-blaine,
2222 Nw Lovejoy St,
Portland, OR 97210-3033

Ph: (503) 413-8036

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.