Thomas Balcom, NP-C in Dallas, OR - Medicare Nurse Practitioner

Thomas Balcom, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Dallas, Oregon. His current practice location is 531 Se Clay St, Dallas, Oregon. You can reach out to his office (for appointments etc.) via phone at (971) 612-6100.

Thomas Balcom is licensed to practice in Oregon (license number 10033401) 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 1316766637.

Contact Information

	Thomas Balcom, NP-C
	531 Se Clay St, Dallas, OR 97338-2865
	(971) 612-6100
	Not Available

Map and Direction

Provider's Profile

Full Name	Thomas Balcom
Gender	Male
Speciality	Nurse Practitioner - Family
Location	531 Se Clay St, Dallas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316766637
Provider Enumeration Date: 10/03/2024
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 8224568613
Enrollment ID: I20250214002226

Medical Identifiers

Medical identifiers for Thomas Balcom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316766637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10033401 (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. Thomas Balcom allows following entities to bill medicare on his behalf.

Entity Name	Praxis Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821068164 PECOS PAC ID: 8325941446 Enrollment ID: O20040128000241

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. Thomas Balcom 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
Thomas Balcom, NP-C Po Box 1517, Pendleton, OR 97801-0410 Ph: (877) 708-1119	Thomas Balcom, NP-C 531 Se Clay St, Dallas, OR 97338-2865 Ph: (971) 612-6100

Reviews and Comments

Nurse Practitioner Nurses in Dallas, OR

Faith Renee Shinn, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 531 Se Clay St, Dallas, OR 97338 Phone: 971-612-6100 Fax: 971-612-6101
Mrs. Kirsten Emily Teixeira, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St Ste 333, Dallas, OR 97338 Phone: 503-623-9289
Julia Esther Balcom, MN,BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 531 Se Clay St, Dallas, OR 97338 Phone: 971-612-6100 Fax: 971-612-6101
Jannell Darlene Werner, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726
Shoshana Farber, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-8175
Caezar Ordonez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Se Washington St, Dallas, OR 97338 Phone: 503-623-8301

Thomas Balcom, NP-C - Medicare Nurse Practitioner in Dallas, OR