Jacob Bingham, MD is a medicare enrolled "Orthopaedic Surgery" physician in Burley, Idaho. He went to Oakland Univ, William Beaumont School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Centennial Medical Group Inc and his current practice location is
1501 Hiland Ave Ste C, Burley, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 677-6080.
Jacob Bingham is licensed to practice in Idaho (license number M15808) 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 1144609314.
Physician's Profile
| Full Name | Jacob Bingham |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 9 Years |
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| Location | 1501 Hiland Ave Ste C, Burley, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacob Bingham attended and graduated from Oakland Univ, William Beaumont School Of Medicine in 2015
NPI Data:
- NPI Number: 1144609314
- Provider Enumeration Date: 05/21/2015
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012226814
- Enrollment ID: I20231109003406
Medical Identifiers
Medical identifiers for Jacob Bingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144609314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XX0005X | Orthopaedic Surgery - Sports Medicine | A168110 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | MT208785 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | M15808 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centennial Medical Group Inc | 6103982962 | 44 |
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. Jacob Bingham allows following entities to bill medicare on his behalf.
| Entity Name | Centennial Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518103274
PECOS PAC ID: 6103982962
Enrollment ID: O20090303000063 |
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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. Jacob Bingham 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 |
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Jacob Bingham, MD
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631
Ph: () - | Jacob Bingham, MD
1501 Hiland Ave Ste C,
Burley, ID 83318-2682
Ph: (208) 677-6080 |
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