Dr Jacob Blaine Oldham, - Medicare Orthopedic Surgery in Lakeside, AZ

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Dr Jacob Blaine Oldham, is a medicare enrolled "Orthopaedic Surgery" physician in Lakeside, Arizona. He went to Mayo Medical School and graduated in 2000 and has 25 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Summit Healthcare Medical Associates, White Mountain Regional Medical Center and his current practice location is 4830 Highway 260 Ste 103, Lakeside, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 537-8777.

Dr Jacob Blaine Oldham is licensed to practice in Arizona (license number 41236) 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 1033109632.

Contact Information

Dr Jacob Blaine Oldham,
4830 Highway 260 Ste 103,
Lakeside, AZ 85929-5851
(928) 537-8777
(928) 537-1914

Map and Direction




Physician's Profile

Full NameDr Jacob Blaine Oldham
GenderMale
SpecialityOrthopedic Surgery
Experience25 Years
Location4830 Highway 260 Ste 103, Lakeside, Arizona
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 Jacob Blaine Oldham attended and graduated from Mayo Medical School in 2000
  NPI Data:
  • NPI Number: 1033109632
  • Provider Enumeration Date: 10/25/2005
  • Last Update Date: 10/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325067804
  • Enrollment ID: I20090105000257

Medical Identifiers

Medical identifiers for Dr Jacob Blaine Oldham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033109632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD2005-0490 (New Mexico)Secondary
207X00000XOrthopaedic Surgery 41236 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summit Healthcare Regional Medical CenterShow low, AZHospital
White Mountain Regional Medical CenterSpringerville, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Healthcare Medical Associates872920573766
White Mountain Regional Medical Center195120351213

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 Jacob Blaine Oldham allows following entities to bill medicare on his behalf.
Entity NameKingman Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265423917
PECOS PAC ID: 6901791367
Enrollment ID: O20040216001173
Entity NameSummit Healthcare Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467878108
PECOS PAC ID: 8729205737
Enrollment ID: O20140815000931
Entity NameOldham Ortho Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578280681
PECOS PAC ID: 3173995503
Enrollment ID: O20230214000855

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 Jacob Blaine Oldham 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 Jacob Blaine Oldham,
4830 Highway 260 Ste 103,
Lakeside, AZ 85929-5851

Ph: (928) 537-8777		Dr Jacob Blaine Oldham,
4830 Highway 260 Ste 103,
Lakeside, AZ 85929-5851

Ph: (928) 537-8777

Reviews and Comments


Orthopaedic Surgery Doctors in Lakeside, AZ

Jeffrey Maurice Reagan, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4830 Highway 260 Ste 103, Lakeside, AZ 85929
Phone: 928-537-8777    Fax: 928-537-1914
Laura L Vandenheede, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5658 Highway 260, Suite 7, Lakeside, AZ 85929
Phone: 928-537-3399    Fax: 928-537-0475

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.