Black Stone Health - Medicare Primary Care in Bellingham, WA

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Black Stone Health is a medicare enrolled primary clinic (Pain Medicine - Pain Medicine) in Bellingham, Washington. The current practice location for Black Stone Health is 4029 Northwest Ave Ste 301, Bellingham, Washington. For appointments, you can reach them via phone at (801) 921-5375. The mailing address for Black Stone Health is 4029 Northwest Ave Ste 301, Bellingham, Washington and phone number is () -.

Black Stone Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1649776394. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 921-5375.

Contact Information

Black Stone Health
4029 Northwest Ave Ste 301
Bellingham
WA 98226-9077
(801) 921-5375
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBlack Stone Health
SpecialityPain Medicine
Location4029 Northwest Ave Ste 301, Bellingham, Washington
Authorized Official Name and PositionJosh Leder (ADMINISTRATOR)
Authorized Official Contact8016415613
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Black Stone Health
4029 Northwest Ave Ste 301
Bellingham
WA 98226-9077

Ph: () -		Black Stone Health
4029 Northwest Ave Ste 301
Bellingham
WA 98226-9077

Ph: (801) 921-5375

NPI Details:

NPI Number1649776394
Provider Enumeration Date04/02/2018
Last Update Date01/09/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0941565162
Medicare Enrollment IDO20180517001248

Medical Identifiers

Medical identifiers for Black Stone Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649776394NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
208VP0000XPain Medicine - Pain Medicine (* (Not Available))Primary
208VP0014XPain Medicine - Interventional Pain Medicine (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
261Q00000XClinic/center (* (Not Available))Secondary
261QA1903XClinic/center - Ambulatory Surgical (* (Not Available))Secondary
291U00000XClinical Medical Laboratory (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Black Stone Health acts as a billing entity for following providers:
Provider NameKyong H Kim
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1124009303
PECOS PAC ID: 1254224389
Enrollment ID: I20040204000336
Provider NameGeoffrey L Tyson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1679610778
PECOS PAC ID: 1456318732
Enrollment ID: I20041217000844
Provider NameJon R Hillyer
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1255398178
PECOS PAC ID: 1850299447
Enrollment ID: I20051208000329
Provider NameBrent A Richardson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1689780751
PECOS PAC ID: 1759388770
Enrollment ID: I20061103000190
Provider NameHelene S Dehaan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831176999
PECOS PAC ID: 5890897334
Enrollment ID: I20101129000374
Provider NameJennifer M Lee
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1922201581
PECOS PAC ID: 8123298908
Enrollment ID: I20110906000116
Provider NameJessett T Pocuis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790174142
PECOS PAC ID: 0244551315
Enrollment ID: I20150602001599
Provider NamePatrick Demarco
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881624302
PECOS PAC ID: 5698722338
Enrollment ID: I20160309002135
Provider NameAndrew Mcneil
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1356637797
PECOS PAC ID: 1951544345
Enrollment ID: I20160726001822
Provider NameChristina Julian
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1013233428
PECOS PAC ID: 5496079980
Enrollment ID: I20161025002708
Provider NameCasey Inman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366752586
PECOS PAC ID: 5294016879
Enrollment ID: I20161220001844
Provider NameZachary R Fisk
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1992931711
PECOS PAC ID: 8022394105
Enrollment ID: I20170405000497
Provider NameNicholas A Juan
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1013270875
PECOS PAC ID: 6103111349
Enrollment ID: I20170615002033
Provider NameAlexander Hartwell Nowlin
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1952716607
PECOS PAC ID: 4284955337
Enrollment ID: I20190604002682
Provider NameAndrew Koogler
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1851719421
PECOS PAC ID: 4183947047
Enrollment ID: I20190710002579
Provider NameKelley M Maguire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710231857
PECOS PAC ID: 1052678109
Enrollment ID: I20200326001620
Provider NameMarisa Lynne Bouquet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790325637
PECOS PAC ID: 9739504002
Enrollment ID: I20200803003097
Provider NameKristin Downs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669936506
PECOS PAC ID: 6305185604
Enrollment ID: I20211213001032
Provider NameJared L Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487995528
PECOS PAC ID: 7719121953
Enrollment ID: I20220611000146
Provider NameMatthew Mcewan
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1699114025
PECOS PAC ID: 2961752068
Enrollment ID: I20230309002893
Provider NameCheryl Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942665591
PECOS PAC ID: 6204209364
Enrollment ID: I20230310001462

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.