Joseph G Blackinton, PHD is a medicare enrolled "Psychologist - Clinical" provider in North Bend, Oregon. He graduated from medical school in 1981 and has 45 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Coastal Center, Llc. and his current practice location is
Coastal Center, Llc, 1834 Mcpherson Ave, North Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 267-2113.
Joseph G Blackinton is licensed to practice in Oregon (license number 3970) 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 1396805016.
Healthcare Provider's Profile
| Full Name | Joseph G Blackinton |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 45 Years |
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| Location | Coastal Center, Llc, North Bend, 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. |
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Medical Education and Training:
- Joseph G Blackinton graduated from medical school in 1981
NPI Data:
- NPI Number: 1396805016
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 11/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426030792
- Enrollment ID: I20250617003158
Medical Identifiers
Medical identifiers for Joseph G Blackinton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396805016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 3970 (Oregon) | Primary |
| 103TC0700X | Psychologist - Clinical | 250 (South Dakota) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Coastal Center, Llc. | 8426046707 | 5 |
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. Joseph G Blackinton allows following entities to bill medicare on his behalf.
| Entity Name | Coastal Center, LLC. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538278536
PECOS PAC ID: 8426046707
Enrollment ID: O20040505000154 |
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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. Joseph G Blackinton 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 |
|---|
Joseph G Blackinton, PHD
Coastal Center, Llc, 1834 Mcpherson Ave,
North Bend, OR 97459
Ph: (541) 267-2113 | Joseph G Blackinton, PHD
Coastal Center, Llc, 1834 Mcpherson Ave,
North Bend, OR 97459
Ph: (541) 267-2113 |
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