Dr Jefferson B Gourley, DDS - Medicare Dentist in Salem, OR

Dr Jefferson B Gourley, DDS is a medicare enrolled "Dentist - Endodontics" provider in Salem, Oregon. His current practice location is 3490 Lancaster Dr Ne, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (855) 433-6825.

Dr Jefferson B Gourley is licensed to practice in Oregon (license number D11009) 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 1003941170.

Contact Information

Dr Jefferson B Gourley, DDS
3490 Lancaster Dr Ne,
Salem, OR 97305-1356
(855) 433-6825
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jefferson B Gourley
GenderMale
SpecialityDentist - Endodontics
Location3490 Lancaster Dr Ne, Salem, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003941170
  • Provider Enumeration Date: 02/22/2007
  • Last Update Date: 05/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951643378
  • Enrollment ID: I20190503000682

Medical Identifiers

Medical identifiers for Dr Jefferson B Gourley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003941170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics DE60502349 (Washington)Secondary
1223E0200XDentist - Endodontics D11009 (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. Dr Jefferson B Gourley 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
Dr Jefferson B Gourley, DDS
6950 Ne Campus Way,
Hillsboro, OR 97124-5611

Ph: (855) 433-6825
Dr Jefferson B Gourley, DDS
3490 Lancaster Dr Ne,
Salem, OR 97305-1356

Ph: (855) 433-6825

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.