Albert Jackson Lilly Iii, MD - Medicare Emergency Medicine in Bend, OR

Albert Jackson Lilly Iii, MD is a medicare enrolled "Emergency Medicine" physician in Bend, Oregon. He went to Eastern Virginia Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St Charles Health System Inc and his current practice location is 61250 Se Coombs Pl, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 706-5930.

Albert Jackson Lilly Iii is licensed to practice in Oregon (license number MD22604) 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 1285677955.

Contact Information

Albert Jackson Lilly Iii, MD
61250 Se Coombs Pl,
Bend, OR 97702-3704
(541) 706-5930
(541) 706-5931



Physician's Profile

Full NameAlbert Jackson Lilly Iii
GenderMale
SpecialityEmergency Medicine
Experience27 Years
Location61250 Se Coombs Pl, Bend, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Albert Jackson Lilly Iii attended and graduated from Eastern Virginia Medical School in 1997
  NPI Data:
  • NPI Number: 1285677955
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 04/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2860424090
  • Enrollment ID: I20071108000291

Medical Identifiers

Medical identifiers for Albert Jackson Lilly Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285677955NPI-NPPES
958936MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD22604 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles PrinevillePrineville, ORHospital
St Charles Medical Center - BendBend, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Charles Health System Inc8729111513206

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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. Albert Jackson Lilly Iii allows following entities to bill medicare on his behalf.
Entity NameSt Charles Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982621447
PECOS PAC ID: 3870402852
Enrollment ID: O20040112000045

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Entity NameSt Charles Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023331303
PECOS PAC ID: 8729111513
Enrollment ID: O20100730000227

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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. Albert Jackson Lilly Iii 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
Albert Jackson Lilly Iii, MD
Po Box 5579,
Bend, OR 97708-5579

Ph: (541) 706-3700
Albert Jackson Lilly Iii, MD
61250 Se Coombs Pl,
Bend, OR 97702-3704

Ph: (541) 706-5930

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Emergency Medicine Doctors in Bend, OR

Dr. Suzanne Hatsumi Hiramatsu, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Ne Neff Rd, Bend, OR 97701
Phone: 541-382-4321    
Dr. Melissa R. Orman, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2600 Ne Neff Rd, Bend, OR 97701
Phone: 541-706-3700    Fax: 541-706-3730
Mr. Joel Myers, PA C
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17054 Indio Rd #4931, Bend, OR 97707
Phone: 541-203-3110    
Dr. Gretchen Holst Jones, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Ne Neff Rd, Bend, OR 97701
Phone: 541-706-5880    Fax: 541-706-5899
Megan Johanna Wolf, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Ne Neff Rd, Bend, OR 97701
Phone: 541-382-4321    
Gregory Merrill Harp, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1302 Ne 3rd St, Bend, OR 97701
Phone: 541-388-7799    Fax: 541-389-4096
Cornelius Peeples, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Ne Neff Rd, Bend, OR 97701
Phone: 541-382-4321    

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