Albert Jackson Lilly Iii, MD in Bend, OR - Medicare Emergency Medicine

Albert Jackson Lilly Iii, MD is a medicare enrolled "Emergency Medicine" physician in Bend, Oregon. He went to Eastern Virginia Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St Charles Health System Inc and his current practice location is 61250 Se Coombs Pl, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 706-5930.

Albert Jackson Lilly Iii is licensed to practice in Oregon (license number MD22604) 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 1285677955.

Contact Information

	Albert Jackson Lilly Iii, MD
	61250 Se Coombs Pl, Bend, OR 97702-3704
	(541) 706-5930
	(541) 706-5931

Map and Direction

Physician's Profile

Full Name	Albert Jackson Lilly Iii
Gender	Male
Speciality	Emergency Medicine
Experience	27 Years
Location	61250 Se Coombs Pl, Bend, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Albert Jackson Lilly Iii attended and graduated from Eastern Virginia Medical School in 1997

NPI Data:

NPI Number: 1285677955
Provider Enumeration Date: 06/13/2006
Last Update Date: 04/17/2020

Medicare PECOS Information:

PECOS PAC ID: 2860424090
Enrollment ID: I20071108000291

Medical Identifiers

Medical identifiers for Albert Jackson Lilly Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285677955	NPI	-	NPPES
958936	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD22604 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Charles Medical Center - Bend	Bend, OR	Hospital
St Charles Prineville	Prineville, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Charles Health System Inc	8729111513	210

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. Albert Jackson Lilly Iii allows following entities to bill medicare on his behalf.

Entity Name	St Charles Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045

Entity Name	St Charles Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023331303 PECOS PAC ID: 8729111513 Enrollment ID: O20100730000227

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. Albert Jackson Lilly Iii 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
Albert Jackson Lilly Iii, MD Po Box 5579, Bend, OR 97708-5579 Ph: (541) 706-3700	Albert Jackson Lilly Iii, MD 61250 Se Coombs Pl, Bend, OR 97702-3704 Ph: (541) 706-5930

Reviews and Comments

Emergency Medicine Doctors in Bend, OR

Dr. Suzanne Hatsumi Hiramatsu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321
Dr. Melissa R. Orman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-3700 Fax: 541-706-3730
Mr. Joel Myers, PA C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17054 Indio Rd #4931, Bend, OR 97707 Phone: 541-203-3110
Dr. Gretchen Holst Jones, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-5880 Fax: 541-706-5899
Megan Johanna Wolf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321
Gregory Merrill Harp, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1302 Ne 3rd St, Bend, OR 97701 Phone: 541-388-7799 Fax: 541-389-4096
Cornelius Peeples, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321

Albert Jackson Lilly Iii, MD - Medicare Emergency Medicine in Bend, OR