Jourdan Ariss Carboy, MD - Medicare Surgery in Bend, OR

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Jourdan Ariss Carboy, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Bend, Oregon. Her current practice location is 2275 Ne Doctors Dr Ste 1, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 762-0262.

Jourdan Ariss Carboy is licensed to practice in Oregon (license number MD221885) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174027783.

Contact Information

Jourdan Ariss Carboy, MD
2275 Ne Doctors Dr Ste 1,
Bend, OR 97701-6324
(541) 762-0262
Not Available

Map and Direction




Physician's Profile

Full NameJourdan Ariss Carboy
GenderFemale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location2275 Ne Doctors Dr Ste 1, Bend, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174027783
  • Provider Enumeration Date: 03/19/2018
  • Last Update Date: 02/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8628329000
  • Enrollment ID: I20241126000660

Medical Identifiers

Medical identifiers for Jourdan Ariss Carboy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174027783NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery MD221885 (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. Jourdan Ariss Carboy allows following entities to bill medicare on her behalf.
Entity NameIvy Creek Of Tallapoosa Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130002
PECOS PAC ID: 8123938719
Enrollment ID: O20031229000288
Entity NameIvy Creek Of Elmore Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558868323
PECOS PAC ID: 8426075508
Enrollment ID: O20051027001031
Entity NameWetumpka Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194057554
PECOS PAC ID: 6800053133
Enrollment ID: O20120130000098
Entity NameChilton Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366857674
PECOS PAC ID: 7517189855
Enrollment ID: O20141120002311

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. Jourdan Ariss Carboy 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 AddressPractice Location Address
Jourdan Ariss Carboy, MD
2275 Ne Doctors Dr Ste 1,
Bend, OR 97701-6324

Ph: (541) 762-0262		Jourdan Ariss Carboy, MD
2275 Ne Doctors Dr Ste 1,
Bend, OR 97701-6324

Ph: (541) 762-0262

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.