Dr Timothy Edelblute, MD - Medicare Emergency Medicine in Salem, OR

Dr Timothy Edelblute, MD is a medicare enrolled "Emergency Medicine" physician in Salem, Oregon. His current practice location is 665 Winter St Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 561-5634.

Dr Timothy Edelblute is licensed to practice in Oregon (license number MD20678) 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 1407969116.

Contact Information

Dr Timothy Edelblute, MD
665 Winter St Se,
Salem, OR 97301-3919
(503) 561-5634
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy Edelblute
GenderMale
SpecialityEmergency Medicine
Location665 Winter St Se, Salem, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407969116
  • Provider Enumeration Date: 08/16/2006
  • Last Update Date: 12/04/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3870760945
  • Enrollment ID: I20120113000266

Medical Identifiers

Medical identifiers for Dr Timothy Edelblute such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407969116NPI-NPPES
G57684OtherGROUP HEALTH
A045OtherCHAMPUS
150406MedicaidOR
150406OtherMARION POLK CHP
8363673MedicaidWA
G57684OtherPROVIDENCE
XPY198713MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD20678 (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. Dr Timothy Edelblute allows following entities to bill medicare on his behalf.
Entity NameSalem Emergency Physicians Service, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063454395
PECOS PAC ID: 8628061124
Enrollment ID: O20040408000014

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 Timothy Edelblute 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 Timothy Edelblute, MD
Po Box 2505,
Salem, OR 97308-2505

Ph: (888) 828-3198
Dr Timothy Edelblute, MD
665 Winter St Se,
Salem, OR 97301-3919

Ph: (503) 561-5634

Reviews and Comments


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Practice Location: 665 Winter St Se, Salem, OR 97301
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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.