Dana Blackham, MD in Seattle, WA - Medicare Obstetrics & Gynecology

Dana Blackham, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Seattle, Washington. His current practice location is 9776 Holman Rd Nw, Suite 108, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 362-9508.

Dana Blackham is licensed to practice in Washington (license number MD00019644) 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 1356487029.

Contact Information

	Dana Blackham, MD
	9776 Holman Rd Nw, Suite 108, Seattle, WA 98117-2000
	(206) 362-9508
	(206) 362-1502

Map and Direction

Physician's Profile

Full Name	Dana Blackham
Gender	Male
Speciality	Obstetrics & Gynecology
Location	9776 Holman Rd Nw, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356487029
Provider Enumeration Date: 01/30/2007
Last Update Date: 07/17/2016

Medicare PECOS Information:

PECOS PAC ID: 7012216427
Enrollment ID: I20160505001212

Medical Identifiers

Medical identifiers for Dana Blackham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356487029	NPI	-	NPPES
B398	Other	WA	REGENCE BLUE SHIELD
1940105	Medicaid	WA
B398	Other	WA	PREMERA BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VX0000X	Obstetrics & Gynecology - Obstetrics	MD00019644 (Washington)	Secondary
207V00000X	Obstetrics & Gynecology	MD00019644 (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. Dana Blackham allows following entities to bill medicare on his behalf.

Entity Name	Obstetrix Medical Group Of Washington Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861599573 PECOS PAC ID: 3577451947 Enrollment ID: O20040308000679

Entity Name	Providence Health & Services-washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111

Entity Name	Obhg Washington Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962729525 PECOS PAC ID: 0345364642 Enrollment ID: O20100823001087

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. Dana Blackham 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
Dana Blackham, MD 9776 Holman Rd Nw, Suite 108, Seattle, WA 98117-2000 Ph: (206) 362-9508	Dana Blackham, MD 9776 Holman Rd Nw, Suite 108, Seattle, WA 98117-2000 Ph: (206) 362-9508

Reviews and Comments

Obstetrics & Gynecology Doctors in Seattle, WA

Dr. Jaime Marie Michaelson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 310 15th Ave E, Seattle, WA 98112 Phone: 206-326-3000
Alisa Beth Kachikis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, 3rd Floor Sw 350, Seattle, WA 98195 Phone: 206-598-4070
Karen L. Bohmke, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1101 Madison St, #1150, Seattle, WA 98104 Phone: 206-386-3400
Lisa S. Callegari, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000
Anne-marie Elizabeth Amies Oelschlager, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Uwmc-roosevelt, 4245 Roosevelt Way Ne, Seattle, WA 98105 Phone: 206-598-5500
Shirley Andrews, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1560 N 115th St Ste 212, Seattle, WA 98133 Phone: 206-363-2800 Fax: 206-363-2811
Lyndsey Summer Benson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356460, Seattle, WA 98195 Phone: 610-202-4028

Dana Blackham, MD - Medicare Obstetrics & Gynecology in Seattle, WA