Blake Mcconnell, MD in Salem, OR - Medicare Family Medicine

Blake Mcconnell, MD is a medicare enrolled "Family Medicine" physician in Salem, Oregon. His current practice location is 2485 12th St Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 363-8047.

Blake Mcconnell is licensed to practice in Oregon (license number MD215853) 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 1063074789.

Contact Information

	Blake Mcconnell, MD
	2485 12th St Se, Salem, OR 97302-2151
	(503) 363-8047
	(503) 363-6571

Map and Direction

Physician's Profile

Full Name	Blake Mcconnell
Gender	Male
Speciality	Family Medicine
Location	2485 12th St Se, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063074789
Provider Enumeration Date: 07/02/2019
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2062818925
Enrollment ID: I20230912000298

Medical Identifiers

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

Identifier	Type	State	Issuer
1063074789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	12439658-1205 (Utah)	Secondary
207Q00000X	Family Medicine	MD215853 (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 Mcconnell allows following entities to bill medicare on his behalf.

Entity Name	Salem Health West Valley
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830

Entity Name	Salem Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131

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 Mcconnell 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 Mcconnell, MD Po Box 13129, Salem, OR 97309-1129 Ph: () -	Blake Mcconnell, MD 2485 12th St Se, Salem, OR 97302-2151 Ph: (503) 363-8047

Reviews and Comments

Family Medicine Doctors in Salem, OR

Dr. Volodymyr Y. Dovhyy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1165 Union St Ne, Salem, OR 97301 Phone: 503-399-2424
Dr. Bethany Wohletz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1160 Wallace Rd Nw, Salem, OR 97304 Phone: 503-304-5716 Fax: 503-304-5719
Anthony Michael Martz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2531 Boone Rd Se, Salem, OR 97306 Phone: 503-399-2424
Rosamund M Irwin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800
Jack Buchanan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem Hospital Urgent Care Center, Salem, OR 97301 Phone: 503-561-5554
Dr. Quincy Enyioma John, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-814-1879
Shwetha R Gurram, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 966 12th St Se Ste 130, Salem, OR 97302 Phone: 503-814-4400

Blake Mcconnell, MD - Medicare Family Medicine in Salem, OR