Matthew Blacke, MD in Port Angeles, WA - Medicare Family Practice

Matthew Blacke, MD is a medicare enrolled "Family Medicine" physician in Port Angeles, Washington. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Olympic Medical Physicians and his current practice location is 907 Georgiana St, Port Angeles, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 565-0550.

Matthew Blacke is licensed to practice in Washington (license number MD60489115) 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 1518220169.

Contact Information

	Matthew Blacke, MD
	907 Georgiana St, Port Angeles, WA 98362-3911
	(360) 565-0550
	(350) 565-0551

Map and Direction

Physician's Profile

Full Name	Matthew Blacke
Gender	Male
Speciality	Family Practice
Experience	14 Years
Location	907 Georgiana St, Port Angeles, 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:

Matthew Blacke graduated from medical school in 2011

NPI Data:

NPI Number: 1518220169
Provider Enumeration Date: 06/19/2012
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7517182645
Enrollment ID: I20151204001132

Medical Identifiers

Medical identifiers for Matthew Blacke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518220169	NPI	-	NPPES
2020095	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD60489115 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Olympic Medical Center	Port angeles, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Olympic Medical Physicians	9537172358	107

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. Matthew Blacke allows following entities to bill medicare on his behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	Franciscan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

Entity Name	Olympic Medical Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427081967 PECOS PAC ID: 9537172358 Enrollment ID: O20060721000246

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. Matthew Blacke 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
Matthew Blacke, MD Po Box 850, Port Angeles, WA 98362-0146 Ph: (360) 565-0550	Matthew Blacke, MD 907 Georgiana St, Port Angeles, WA 98362-3911 Ph: (360) 565-0550

Reviews and Comments

Family Medicine Doctors in Port Angeles, WA

Jinlin Brendel, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 E 8th St, Port Angeles, WA 98362 Phone: 360-565-0999
Benjamin Robert Curran, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 240 W Front St Ste A, Port Angeles, WA 98362 Phone: 360-452-7891 Fax: 360-452-8087
Michael A Clancy, Family Medicine Medicare: Medicare Enrolled Practice Location: 835 Georgiana St, Port Angeles, WA 98362 Phone: 360-457-8534 Fax: 360-457-9741
Dr. Sophia Yenzhoo Tong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-0852
Dr. Naffie Ceesay, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0550 Fax: 360-565-0551
Mira Rose Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 W Front St, Port Angeles, WA 98362 Phone: 360-452-7891
Margaret Elizabeth Bangs, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 908 Georgiana St, Saa, Port Angeles, WA 98362 Phone: 360-452-7080 Fax: 360-457-1455

Matthew Blacke, MD - Medicare Family Practice in Port Angeles, WA