Bruce Gragg Blackstone, MD in Longview, WA - Medicare Orthopaedic Surgery

Bruce Gragg Blackstone, MD is a medicare enrolled "Orthopaedic Surgery" physician in Longview, Washington. His current practice location is 625 9th Ave, Suite 210, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 501-3400.

Bruce Gragg Blackstone is licensed to practice in Washington (license number MD00020762) 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 1891760211.

Contact Information

	Bruce Gragg Blackstone, MD
	625 9th Ave, Suite 210, Longview, WA 98632-2465
	(360) 501-3400
	(360) 423-6862

Map and Direction

Physician's Profile

Full Name	Bruce Gragg Blackstone
Gender	Male
Speciality	Orthopaedic Surgery
Location	625 9th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891760211
Provider Enumeration Date: 02/20/2006
Last Update Date: 09/22/2010

Medicare PECOS Information:

PECOS PAC ID: 0941239321
Enrollment ID: I20050817001027

Medical Identifiers

Medical identifiers for Bruce Gragg Blackstone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891760211	NPI	-	NPPES
1131101	Medicaid	WA
195560	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	MD00020762 (Washington)	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. Bruce Gragg Blackstone allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

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. Bruce Gragg Blackstone 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
Bruce Gragg Blackstone, MD 625 9th Ave, Suite 210, Longview, WA 98632-2465 Ph: (360) 501-3400	Bruce Gragg Blackstone, MD 625 9th Ave, Suite 210, Longview, WA 98632-2465 Ph: (360) 501-3400

Reviews and Comments

Orthopaedic Surgery Doctors in Longview, WA

Dr. Tony C Lin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-5682
William Taylor Turner, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Dr. Peter Kung, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
David Michael Black, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Anthony J Lauder, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Jon Edward Kretzler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Tiffany C Liu, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 415-476-6548

Bruce Gragg Blackstone, MD - Medicare Orthopaedic Surgery in Longview, WA