Blake Peterson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Newport, Oregon. 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.
Healthcare Provider's Profile
Full Name | Blake Peterson |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 930 Sw Abbey St Ste B, Newport, Oregon |
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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:
- Blake Peterson attended and graduated from in
NPI Data:
- NPI Number: 1689027054
- Provider Enumeration Date: 07/20/2016
- Last Update Date: 11/17/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Blake Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689027054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 000930 (Arizona) | Secondary |
213E00000X | Podiatrist | T60-2016 (Texas) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | DP207320 (Oregon) | Primary |
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 Address | Practice 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 |
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