Randall E Blome, MD is a medicare enrolled "Family Medicine" physician in Grand Ronde, Oregon. He went to University Of Toledo College Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Confederated Tribes Of The Grand Ronde Community Of Oregon and his current practice location is
9605 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 879-2002.
Randall E Blome is licensed to practice in Oregon (license number MD17595) 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 1861457384.
Physician's Profile
Full Name | Randall E Blome |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 38 Years |
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Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
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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:
- Randall E Blome attended and graduated from University Of Toledo College Of Medicine in 1986
NPI Data:
- NPI Number: 1861457384
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 11/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 9830222504
- Enrollment ID: I20100802000365
Medical Identifiers
Medical identifiers for Randall E Blome such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861457384 | NPI | - | NPPES |
034558 | Medicaid | OR | |
0200572 | Other | WA | WA LABOR & INDUSTRIES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD17595 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Confederated Tribes Of The Grand Ronde Community Of Oregon | 6103717277 | 12 |
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. Randall E Blome allows following entities to bill medicare on his behalf.
Entity Name | Confederated Tribes Of The Grand Ronde Community Of Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174666358 PECOS PAC ID: 6103717277 Enrollment ID: O20040320000494 |
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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. Randall E Blome 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 |
Randall E Blome, MD 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 | Randall E Blome, MD 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 |
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