Dr Timothy Edelblute, MD - Medicare Emergency Medicine in Salem, OR

Dr Timothy Edelblute, MD is a medicare enrolled "Emergency Medicine" physician in Salem, Oregon. His current practice location is 665 Winter St Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 561-5634.

Dr Timothy Edelblute is licensed to practice in Oregon (license number MD20678) 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 1407969116.

Contact Information

Dr Timothy Edelblute, MD
665 Winter St Se,
Salem, OR 97301-3919
(503) 561-5634
Not Available



Physician's Profile

Full NameDr Timothy Edelblute
GenderMale
SpecialityEmergency Medicine
Location665 Winter St Se, Salem, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407969116
  • Provider Enumeration Date: 08/16/2006
  • Last Update Date: 12/04/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3870760945
  • Enrollment ID: I20120113000266

Medical Identifiers

Medical identifiers for Dr Timothy Edelblute such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407969116NPI-NPPES
G57684OtherGROUP HEALTH
A045OtherCHAMPUS
150406MedicaidOR
150406OtherMARION POLK CHP
8363673MedicaidWA
G57684OtherPROVIDENCE
XPY198713MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD20678 (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. Dr Timothy Edelblute allows following entities to bill medicare on his behalf.
Entity NameSalem Emergency Physicians Service, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063454395
PECOS PAC ID: 8628061124
Enrollment ID: O20040408000014

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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. Dr Timothy Edelblute 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
Dr Timothy Edelblute, MD
Po Box 2505,
Salem, OR 97308-2505

Ph: (888) 828-3198
Dr Timothy Edelblute, MD
665 Winter St Se,
Salem, OR 97301-3919

Ph: (503) 561-5634

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Emergency Medicine Doctors in Salem, OR

Jordan L Barnhart, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 890 Oak St Se, Building 'a', Salem, OR 97301
Phone: 503-814-1278    
Jacob Vanderstarre, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 890 Oak St Se Bldg A, Salem, OR 97301
Phone: 855-691-9890    
Dr. Charles Wilson, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 665 Winter St Se, Salem, OR 97301
Phone: 503-561-5634    
Brian Murray Auld, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3621 Elderberry Dr S, Salem, OR 97302
Phone: 503-580-9228    
Dr. Lazeni Koulibali, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 665 Winter St Se, Salem, OR 97301
Phone: 503-561-5634    
Trevor Grant Phillips, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 890 Oak St Se, Salem Emergency Physicians C/o Ed - Salem Hospital 'a', Salem, OR 97301
Phone: 503-561-5634    
Michael Barr, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 665 Winter St Se, Salem, OR 97301
Phone: 503-561-5634    

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