Dr Blake Bashor, DO - Medicare Emergency Medicine in Hartford, WI

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Dr Blake Bashor, DO is a medicare enrolled "Emergency Medicine" physician in Hartford, Wisconsin. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Genesis Health System, Aurora Medical Group, Inc. and his current practice location is 1032 E Sumner St, Hartford, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 673-2300.

Dr Blake Bashor is licensed to practice in Wisconsin (license number 2779-021) 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 1417339748.

Contact Information

Dr Blake Bashor, DO
1032 E Sumner St,
Hartford, WI 53027-1608
(262) 673-2300
Not Available

Map and Direction




Physician's Profile

Full NameDr Blake Bashor
GenderMale
SpecialityEmergency Medicine
Experience9 Years
Location1032 E Sumner St, Hartford, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Blake Bashor attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2015
  NPI Data:
  • NPI Number: 1417339748
  • Provider Enumeration Date: 06/23/2015
  • Last Update Date: 10/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193009843
  • Enrollment ID: I20190820000587

Medical Identifiers

Medical identifiers for Dr Blake Bashor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417339748NPI-NPPES
100248198MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OS018472 (Pennsylvania)Secondary
207P00000XEmergency Medicine 2779-021 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Medical Ctr Washington CountyHartford, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Genesis Health System6103829338186
Aurora Medical Group, Inc.67097942583207

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. Dr Blake Bashor allows following entities to bill medicare on his behalf.
Entity NameGenesis Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528616901
PECOS PAC ID: 6103829338
Enrollment ID: O20191031002622

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. Dr Blake Bashor 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 AddressPractice Location Address
Dr Blake Bashor, DO
Po Box 735044,
Chicago, IL 60673-5044

Ph: () -		Dr Blake Bashor, DO
1032 E Sumner St,
Hartford, WI 53027-1608

Ph: (262) 673-2300

Reviews and Comments


Emergency Medicine Doctors in Hartford, WI

Julie Faber, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1032 E Sumner St, Hartford, WI 53027
Phone: 262-673-2300    
Benjamin J Krause, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1032 E Sumner St, Hartford, WI 53027
Phone: 262-670-4300    
James J Kambol, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1032 E Sumner St, Hartford, WI 53027
Phone: 262-673-2300    Fax: 262-670-7620
Dr. Antony V George, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1032 E Sumner St, Hartford, WI 53027
Phone: 262-673-2300    
Mamta M Pandey, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1032 E Sumner St, Hartford, WI 53027
Phone: 262-670-7240    
Aurora M Lybeck, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1032 E Sumner St, Hartford, WI 53027
Phone: 262-376-2300    
Dr. Sarah Simcha Silver, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1032 E Sumner St, Hartford, WI 53027
Phone: 262-673-2300    

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.