Mr Stacy C Berube, MD in Bend, OR - Pediatrics

Mr Stacy C Berube, MD is a Pediatrics physician based in Bend, Oregon. Mr Stacy C Berube is licensed to practice in Oregon (license number MD11490) and his current practice location is 2200 Ne Professional Ct, Bend, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 389-6313.

NPI number for Mr Stacy C Berube is 1073599452 and his current mailing address is 2200 Ne Professional Ct., Bend, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073599452.

Contact Information

	Mr Stacy C Berube, MD
	2200 Ne Professional Ct, Bend, OR 97701-6063
	(541) 389-6313
	(541) 389-8760

Physician's Profile

Full Name	Mr Stacy C Berube
Gender	Male
Speciality	Pediatrics
Location	2200 Ne Professional Ct, Bend, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1073599452
Provider Enumeration Date: 12/19/2005
Last Update Date: 04/09/2009

Medical Identifiers

Medical identifiers for Mr Stacy C Berube such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073599452	NPI	-	NPPES
243683	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD11490 (Oregon)	Primary

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. Mr Stacy C Berube is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Stacy C Berube, MD 2200 Ne Professional Ct., Bend, OR 97701 Ph: (541) 389-6313	Mr Stacy C Berube, MD 2200 Ne Professional Ct, Bend, OR 97701-6063 Ph: (541) 389-6313

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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
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

Mr Stacy C Berube, MD - Pediatrics in Bend, OR