Mr Blaine B Rourke, DO is a medicare enrolled "Emergency Medicine" in Albany, Oregon. His current practice location is
1046 6th Ave Sw, Albany, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 812-4000.
Mr Blaine B Rourke is licensed to practice in Oregon (license number DO217686) 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 1184640740.
Provider's Profile
Full Name | Mr Blaine B Rourke |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 1046 6th Ave Sw, Albany, 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: 1184640740
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 8820078058
- Enrollment ID: I20240702004391
Medical Identifiers
Medical identifiers for Mr Blaine B Rourke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184640740 | NPI | - | NPPES |
182196901 | Medicaid | TX | |
8L5723 | Other | TX | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA03254 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207P00000X | Emergency Medicine | DO217686 (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. Mr Blaine B Rourke allows following entities to bill medicare on his behalf.
Entity Name | Samaritan North Lincoln Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20040120000329 |
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Entity Name | Albany General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
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Entity Name | Samaritan North Lincoln Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20061104000117 |
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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. Mr Blaine B Rourke 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 |
Mr Blaine B Rourke, DO Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Mr Blaine B Rourke, DO 1046 6th Ave Sw, Albany, OR 97321-1916 Ph: (541) 812-4000 |
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