Dana Blackham, MD - Medicare Obstetrics & Gynecology in Seattle, WA

Dana Blackham, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Seattle, Washington. His current practice location is 9776 Holman Rd Nw, Suite 108, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 362-9508.

Dana Blackham is licensed to practice in Washington (license number MD00019644) 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 1356487029.

Contact Information

Dana Blackham, MD
9776 Holman Rd Nw, Suite 108,
Seattle, WA 98117-2000
(206) 362-9508
(206) 362-1502



Physician's Profile

Full NameDana Blackham
GenderMale
SpecialityObstetrics & Gynecology
Location9776 Holman Rd Nw, Seattle, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356487029
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 07/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7012216427
  • Enrollment ID: I20160505001212

Medical Identifiers

Medical identifiers for Dana Blackham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356487029NPI-NPPES
B398OtherWAREGENCE BLUE SHIELD
1940105MedicaidWA
B398OtherWAPREMERA BLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VX0000XObstetrics & Gynecology - Obstetrics MD00019644 (Washington)Secondary
207V00000XObstetrics & Gynecology MD00019644 (Washington)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. Dana Blackham allows following entities to bill medicare on his behalf.
Entity NameObstetrix Medical Group Of Washington Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861599573
PECOS PAC ID: 3577451947
Enrollment ID: O20040308000679

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Entity NameProvidence Health & Services- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124270715
PECOS PAC ID: 8325100480
Enrollment ID: O20081224000111

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Entity NameObhg Washington Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962729525
PECOS PAC ID: 0345364642
Enrollment ID: O20100823001087

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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. Dana 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 AddressPractice Location Address
Dana Blackham, MD
9776 Holman Rd Nw, Suite 108,
Seattle, WA 98117-2000

Ph: (206) 362-9508
Dana Blackham, MD
9776 Holman Rd Nw, Suite 108,
Seattle, WA 98117-2000

Ph: (206) 362-9508

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Obstetrics & Gynecology Doctors in Seattle, WA

Dr. Jaime Marie Michaelson, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 310 15th Ave E, Seattle, WA 98112
Phone: 206-326-3000    
Alisa Beth Kachikis, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1959 Ne Pacific St, 3rd Floor Sw 350, Seattle, WA 98195
Phone: 206-598-4070    
Karen L. Bohmke, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1101 Madison St, #1150, Seattle, WA 98104
Phone: 206-386-3400    
Lisa S. Callegari, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1959 Ne Pacific St, Seattle, WA 98195
Phone: 206-520-5000    
Anne-marie Elizabeth Amies Oelschlager,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Uwmc-roosevelt, 4245 Roosevelt Way Ne, Seattle, WA 98105
Phone: 206-598-5500    
Shirley Andrews, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1560 N 115th St Ste 212, Seattle, WA 98133
Phone: 206-363-2800    Fax: 206-363-2811
Lyndsey Summer Benson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1959 Ne Pacific St, Box 356460, Seattle, WA 98195
Phone: 610-202-4028    

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