Jason Lee Blackham, MD in Pullman, WA - Medicare Sports Medicine

Jason Lee Blackham, MD is a medicare enrolled "Internal Medicine - Sports Medicine" physician in Pullman, Washington. He went to University Of Utah School Of Medicine and graduated in 2003 and has 23 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Ihc Health Services Inc and his current practice location is 825 Se Bishop Blvd Ste 120, Pullman, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 332-2828.

Jason Lee Blackham is licensed to practice in Washington (license number MD.MD.70131894) 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 1821293242.

Contact Information

	Jason Lee Blackham, MD
	825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517
	(509) 332-2828
	Not Available

Map and Direction

Physician's Profile

Full Name	Jason Lee Blackham
Gender	Male
Speciality	Sports Medicine
Experience	23 Years
Location	825 Se Bishop Blvd Ste 120, Pullman, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason Lee Blackham attended and graduated from University Of Utah School Of Medicine in 2003

NPI Data:

NPI Number: 1821293242
Provider Enumeration Date: 06/16/2007
Last Update Date: 07/09/2026

Medicare PECOS Information:

PECOS PAC ID: 9638262538
Enrollment ID: I20090115000041

Medical Identifiers

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

Identifier	Type	State	Issuer
1821293242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RS0010X	Internal Medicine - Sports Medicine	MD.MD.70131894 (Washington)	Primary
207RS0010X	Internal Medicine - Sports Medicine	2981404 (Idaho)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ihc Health Services Inc	1850209420	3956

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. Jason Lee Blackham allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Jason Lee 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
Jason Lee Blackham, MD 825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517 Ph: (509) 332-2828	Jason Lee Blackham, MD 825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517 Ph: (509) 332-2828

Reviews and Comments

Internal Medicine Doctors in Pullman, WA

Benno J Mohr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247
Dennis L Simpson, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247
Ammar Rizvi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 825 Se Bishop Blvd Ste 200, Pullman, WA 99163 Phone: 509-332-2517
Justin Cochrane, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 130, Pullman, WA 99163 Phone: 509-338-0632
Guillermo Modad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-332-2541
Usha Nandhini, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 Se Bishop Blvd Ste 103, Pullman, WA 99163 Phone: 509-338-6000
Stephanie M Fosback, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163 Phone: 509-332-2517 Fax: 509-334-9247

Jason Lee Blackham, MD - Medicare Sports Medicine in Pullman, WA