Dr Ellis Burke Jardine, DMD in Vancouver, WA

Dr Ellis Burke Jardine, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Vancouver, Washington. His current practice location is 406c Se 131st Avenue, Suite 305, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 253-9792.

Dr Ellis Burke Jardine is licensed to practice in Washington (license number DE60339865) 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 1922205715.

Contact Information

	Dr Ellis Burke Jardine, DMD
	406c Se 131st Avenue, Suite 305, Vancouver, WA 98683-4003
	(360) 253-9792
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ellis Burke Jardine
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	406c Se 131st Avenue, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922205715
Provider Enumeration Date: 06/27/2007
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2365833951
Enrollment ID: I20211215000523

Medical Identifiers

Medical identifiers for Dr Ellis Burke Jardine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922205715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	7240 (Arizona)	Secondary
1223P0700X	Dentist - Prosthodontics	27917 (Texas)	Secondary
1223P0700X	Dentist - Prosthodontics	DE 60339865 (Washington)	Secondary
1223P0700X	Dentist - Prosthodontics	9441 (Tennessee)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DE60339865 (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. Dr Ellis Burke Jardine allows following entities to bill medicare on his behalf.

Entity Name	Ellis Jardine Dmd Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831558907 PECOS PAC ID: 1456742048 Enrollment ID: O20211215000462

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 Ellis Burke Jardine 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
Dr Ellis Burke Jardine, DMD 3542 Ne Franklin St, Camas, WA 98607-6904 Ph: (480) 862-3185	Dr Ellis Burke Jardine, DMD 406c Se 131st Avenue, Suite 305, Vancouver, WA 98683-4003 Ph: (360) 253-9792

Reviews and Comments

Dentist in Vancouver, WA

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Dr. Paria Mazareei, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12116 Se Mill Plain Blvd Ste 3, Vancouver, WA 98684 Phone: 727-458-6536
Dr. Melissa Grant, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7725 Ne Highway 99, Vancouver, WA 98665 Phone: 360-696-4487
Esther Su Young, RETIRED DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4610 Nw 138th St, Vancouver, WA 98685 Phone: 360-852-0179
Dr. Susan Marie Karagianes, DMD Dentist Medicare: Medicare Enrolled Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-571-3138
Dr. John Robert Sundell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12711 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-896-4484 Fax: 360-896-4489
Mrs. Kristine H Pham, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1300 Ne 134th Street, Vancouver, WA 98685 Phone: 360-546-5208 Fax: 360-574-2878

Dr Ellis Burke Jardine, DMD - Medicare Dentist in Vancouver, WA