Thiebaut Thomas Herzog, in Bend, OR

Thiebaut Thomas Herzog, is a medicare enrolled "Pediatrics" physician in Bend, Oregon. His current practice location is 2500 Ne Neff Rd, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 382-4321.

Thiebaut Thomas Herzog is licensed to practice in Washington (license number 1114344058) 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 1114344058.

Contact Information

	Thiebaut Thomas Herzog,
	2500 Ne Neff Rd, Bend, OR 97701-6015
	(541) 382-4321
	Not Available

Map and Direction

Physician's Profile

Full Name	Thiebaut Thomas Herzog
Gender	Male
Speciality	Pediatrics
Location	2500 Ne Neff Rd, 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: 1114344058
Provider Enumeration Date: 03/27/2014
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7618288812
Enrollment ID: I20220818002062

Medical Identifiers

Medical identifiers for Thiebaut Thomas Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114344058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	1114344058 (Washington)	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. Thiebaut Thomas Herzog 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

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. Thiebaut Thomas Herzog 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
Thiebaut Thomas Herzog, 2801 N Gantenbein Ave, Portland, OR 97227-1623 Ph: (503) 276-6500	Thiebaut Thomas Herzog, 2500 Ne Neff Rd, Bend, OR 97701-6015 Ph: (541) 382-4321

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

Thiebaut Thomas Herzog, - Medicare Pediatrics in Bend, OR