Jack Edward Burgeson, MD in Bend, OR

Jack Edward Burgeson, MD is a medicare enrolled "Pediatrics" physician in Bend, Oregon. His current practice location is 2200 Ne Professional Ct, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 382-3344.

Jack Edward Burgeson is licensed to practice in Oregon (license number MD217757) 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 1194214320.

Contact Information

	Jack Edward Burgeson, MD
	2200 Ne Professional Ct, Bend, OR 97701-6063
	(541) 382-3344
	Not Available

Map and Direction

Physician's Profile

Full Name	Jack Edward Burgeson
Gender	Male
Speciality	Pediatrics
Location	2200 Ne Professional Ct, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194214320
Provider Enumeration Date: 05/03/2018
Last Update Date: 09/11/2024

Medicare PECOS Information:

PECOS PAC ID: 4385077676
Enrollment ID: I20230731000496

Medical Identifiers

Medical identifiers for Jack Edward Burgeson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194214320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.147258 (Ohio)	Secondary
208000000X	Pediatrics	11393172-1205 (Utah)	Secondary
208000000X	Pediatrics	MD217757 (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. Jack Edward Burgeson allows following entities to bill medicare on his behalf.

Entity Name	The Cleveland Clinic Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049

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. Jack Edward Burgeson 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
Jack Edward Burgeson, MD 2200 Ne Professional Ct, Bend, OR 97701-6063 Ph: (541) 389-6313	Jack Edward Burgeson, MD 2200 Ne Professional Ct, Bend, OR 97701-6063 Ph: (541) 382-3344

Reviews and Comments

Pediatrics Doctors in Bend, OR

Benjamin Bruno Barsotti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 Fax: 541-706-6813
Dr. Brenna Kathryn Lewis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 Fax: 541-706-6813
Mr. Stacy C. Berube, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Ne Professional Ct, Bend, OR 97701 Phone: 541-389-6313 Fax: 541-389-8760
Dr. Kristi A Nix, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2084 Ne Professional Ct, Bend, OR 97701 Phone: 541-383-3005 Fax: 541-383-1883
Scott Chambers Olson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321
Erika Stephanie Beard-irvine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 Ne Revere Ave, Bend, OR 97701 Phone: 541-241-6371 Fax: 877-991-7408
Dr. Michelle R Mills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-4900

Jack Edward Burgeson, MD - Medicare Pediatrics in Bend, OR