Blake Peterson, DPM - Medicare Podiatrist in Newport, OR

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Blake Peterson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Newport, Oregon. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Samaritan Pacific Health Services Inc, Mid-valley Healthcare Inc and his current practice location is 930 Sw Abbey St Ste B, Newport, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 574-7235.

Blake Peterson is licensed to practice in Oregon (license number DP207320) 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 1689027054.

Contact Information

Blake Peterson, DPM
930 Sw Abbey St Ste B,
Newport, OR 97365-4820
(541) 574-7235
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBlake Peterson
GenderMale
SpecialityPodiatry
Experience9 Years
Location930 Sw Abbey St Ste B, Newport, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blake Peterson graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1689027054
  • Provider Enumeration Date: 07/20/2016
  • Last Update Date: 11/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739469701
  • Enrollment ID: I20211028003170

Medical Identifiers

Medical identifiers for Blake Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689027054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 000930 (Arizona)Secondary
213E00000XPodiatrist T60-2016 (Texas)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery DP207320 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan Pacific Community HospitalNewport, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Samaritan Pacific Health Services Inc246635352973
Mid-valley Healthcare Inc2769391523138

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 Peterson allows following entities to bill medicare on his behalf.
Provider NameMid-valley Healthcare Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20031111000297
Provider NameGood Samaritan Hospital Corvallis
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962453134
PECOS PAC ID: 1557270725
Enrollment ID: O20031125000163
Provider NameSamaritan Pacific Health Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1174888010
PECOS PAC ID: 2466353529
Enrollment ID: O20040204000304
Provider NameMid-valley Healthcare Inc
Provider TypePart A Provider - Critical Access Hospital
Provider IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20061104000140
Provider NameSamaritan Pacific Health Services Inc
Provider TypePart A Provider - Critical Access Hospital
Provider IdentifiersNPI Number: 1801847066
PECOS PAC ID: 2466353529
Enrollment ID: O20061104000163

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 Peterson 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
Blake Peterson, DPM
Po Box 2847,
Corvallis, OR 97339-2847

Ph: () -		Blake Peterson, DPM
930 Sw Abbey St Ste B,
Newport, OR 97365-4820

Ph: (541) 574-7235

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.