Dr James Ralph Vanderburg Iii, M D is a medicare enrolled "Obstetrics & Gynecology" physician in Pittsburg, Texas. His current practice location is
2701 Us Highway 271 N, Pittsburg, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 946-5442.
Dr James Ralph Vanderburg Iii is licensed to practice in Texas (license number K9689) 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 1396821997.
Physician's Profile
| Full Name | Dr James Ralph Vanderburg Iii |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 2701 Us Highway 271 N, Pittsburg, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396821997
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 04/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799780607
- Enrollment ID: I20070209000237
Medical Identifiers
Medical identifiers for Dr James Ralph Vanderburg Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396821997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | K9689 (Texas) | 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. Dr James Ralph Vanderburg Iii allows following entities to bill medicare on his behalf.
| Entity Name | East Texas Medical Center Healthcare Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124062484
PECOS PAC ID: 3678486222
Enrollment ID: O20031114000152 |
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| Entity Name | Etmc Physician Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106 |
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| Entity Name | Pittsburg Hospital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942700331
PECOS PAC ID: 5597029272
Enrollment ID: O20180604001525 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190520001486 |
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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. Dr James Ralph Vanderburg 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 Address | Practice Location Address |
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Dr James Ralph Vanderburg Iii, M D
2701 Us Highway 271 N Ste 301,
Pittsburg, TX 75686-4289
Ph: (903) 465-4429 | Dr James Ralph Vanderburg Iii, M D
2701 Us Highway 271 N,
Pittsburg, TX 75686-4289
Ph: (903) 946-5442 |
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