Blake Golden, in Scappoose, OR - Medicare Physical Therapist Provider

Blake Golden, is a medicare enrolled "Physical Therapist" provider in Scappoose, Oregon. His current practice location is 51385 Sw Old Portland Rd Ste E, Scappoose, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 543-7768.

Blake Golden is licensed to practice in Oregon (license number 65565) 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 1790537306.

Contact Information

	Blake Golden,
	51385 Sw Old Portland Rd Ste E, Scappoose, OR 97056-4062
	(503) 543-7768
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Golden
Gender	Male
Speciality	Physical Therapist
Location	51385 Sw Old Portland Rd Ste E, Scappoose, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790537306
Provider Enumeration Date: 04/05/2024
Last Update Date: 12/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1052750189
Enrollment ID: I20240422002137

Medical Identifiers

Medical identifiers for Blake Golden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790537306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Nevada)	Secondary
225100000X	Physical Therapist	65565 (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. Blake Golden allows following entities to bill medicare on his behalf.

Provider Name	New Century Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396777892 PECOS PAC ID: 3274422647 Enrollment ID: O20040312001184

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. Blake Golden 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
Blake Golden, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206	Blake Golden, 51385 Sw Old Portland Rd Ste E, Scappoose, OR 97056-4062 Ph: (503) 543-7768

Reviews and Comments

Physical Therapist in Scappoose, OR

Katelyn A Callahan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51385 Sw Old Portland Rd, Scappoose, OR 97056 Phone: 503-543-7768 Fax: 503-543-7772
Olya Vasilyevna Kurkoski, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51577 Columbia River Hwy, Suite A, Scappoose, OR 97056 Phone: 503-543-0254 Fax: 503-543-0259
Mr. James W Cavin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51577 Columbia River Hwy, Suite A, Scappoose, OR 97056 Phone: 503-543-0254 Fax: 503-543-0259
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51577 Columbia River Hwy, Ste A, Scappoose, OR 97056 Phone: 503-543-0254 Fax: 503-543-0259
Columbia County Mobile Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 52436 Ne 14th St, Scappoose, OR 97056 Phone: 805-610-1416
Jennifer Kearsley, Physical Therapist Medicare: Medicare Enrolled Practice Location: 51577 Columbia River Hwy Ste A, Scappoose, OR 97056 Phone: 503-543-0254 Fax: 503-543-0259
Erhardt Physical Therapy And Sports Medicine, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 51385 Sw Old Portland Rd, Suite E, Scappoose, OR 97056 Phone: 503-543-7768 Fax: 503-543-7772

Blake Golden, - Medicare Physical Therapist in Scappoose, OR