Jacob Vanderstarre, MD in Salem, OR - Medicare Emergency Medicine

Jacob Vanderstarre, MD is a medicare enrolled "Emergency Medicine" physician in Salem, Oregon. He went to Wayne State University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southwestern Michigan Emergency Services, Pc and his current practice location is 890 Oak St Se Bldg A, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (855) 691-9890.

Jacob Vanderstarre is licensed to practice in Oregon (license number MD191574) 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 1003267782.

Contact Information

	Jacob Vanderstarre, MD
	890 Oak St Se Bldg A, Salem, OR 97301
	(855) 691-9890
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Vanderstarre
Gender	Male
Speciality	Emergency Medicine
Experience	8 Years
Location	890 Oak St Se Bldg A, Salem, 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:

Jacob Vanderstarre attended and graduated from Wayne State University School Of Medicine in 2016

NPI Data:

NPI Number: 1003267782
Provider Enumeration Date: 06/24/2016
Last Update Date: 06/21/2019

Medicare PECOS Information:

PECOS PAC ID: 6103112289
Enrollment ID: I20190514003260

Medical Identifiers

Medical identifiers for Jacob Vanderstarre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003267782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	4301109907 (Michigan)	Secondary
207P00000X	Emergency Medicine	MD191574 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bronson Methodist Hospital	Kalamazoo, MI	Hospital
Bronson Battle Creek Hospital	Battle creek, MI	Hospital
Bronson Lakeview Hospital	Paw paw, MI	Hospital
Bronson South Haven Hospital	South haven, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwestern Michigan Emergency Services, Pc	1456265891	58

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 Vanderstarre allows following entities to bill medicare on his behalf.

Entity Name	Southwestern Michigan Emergency Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013021310 PECOS PAC ID: 1456265891 Enrollment ID: O20040211000832

Entity Name	Ecs Western Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001

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 Vanderstarre 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
Jacob Vanderstarre, MD 890 Oak St Se Bldg A, Salem, OR 97301-3905 Ph: (855) 691-9890	Jacob Vanderstarre, MD 890 Oak St Se Bldg A, Salem, OR 97301 Ph: (855) 691-9890

Reviews and Comments

Emergency Medicine Doctors in Salem, OR

Jordan L Barnhart, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se, Building 'a', Salem, OR 97301 Phone: 503-814-1278
Dr. Charles Wilson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634
Brian Murray Auld, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3621 Elderberry Dr S, Salem, OR 97302 Phone: 503-580-9228
Dr. Lazeni Koulibali, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634
Trevor Grant Phillips, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem Emergency Physicians C/o Ed - Salem Hospital 'a', Salem, OR 97301 Phone: 503-561-5634
Michael Barr, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634

Jacob Vanderstarre, MD - Medicare Emergency Medicine in Salem, OR