Blythe Kaufmann Belzer, MD
Individual provider Active NPI Internal Medicine Physician · Missoula, MT
NPI 1053671792 · NPPES record last updated Jul 30, 2019
Key facts
- NPI
- 1053671792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 76930 (MT)
- Practice address
- 500 W Broadway St FL 4
Missoula, MT 59802 - Phone
- (406) 327-1900
- Fax
- (406) 327-1974
- NPI assigned
- May 28, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services Mt
Practice addresses (Care Compare)
500 W Broadway St
Missoula, MT 59802-4003
500 W Broadway St
Missoula, MT 59802-4008
500 W Broadway St
Missoula, MT 59802-4096
500 W Broadway St 3Rd FL
Missoula, MT 59802-4096
Hospital & facility affiliations
- Partners in Home Care Inc
- Big Sky Home Health
- St. Patrick Hospital
- Community Medical Center
- Providence St Joseph Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190715002028 | MT | Practitioner - Internal Medicine | 1658694872 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76930 | MT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Internal Medicine | Current |
Accepting new patients |
| Providence Health & Services Mt | Internal Medicine | Current |
Accepting new patients |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Past | Accepting new patients |
Locations
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
500 W Broadway St
Fl 4
Missoula, MT 59802
Phone (406) 327-1900
Interoperability endpoints
- bbelzer1116468@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 62041-20 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 76930 | MT | Yes |
Addresses
Primary practice location
500 W Broadway St FL 4
Missoula, MT 59802
Mailing address
500 W Broadway St FL 4
Missoula, MT 59802-4008
Phone (406) 327-1900
Other providers in Missoula, MT
- David H Bellamah
- Ngan-VI Bellew
- Rebecca Coenen Belsom
- Belt Volunteer Ambulance Service
- Christine Anne Beltramo
- Brett D. Bender
- Monica Bender
- Angela Marie Benishek-Groves
- Cory Benjamin-Davis
- Alison Benjamin
All providers in Missoula, MT · Internal Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.