Dr Jerry Russell Bartleson, MD - Medicare Emergency Medicine in Tully, NY

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Dr Jerry Russell Bartleson, MD is a medicare enrolled "Emergency Medicine" physician in Tully, New York. He graduated from medical school in 1983 and has 43 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lakewood Health Center and his current practice location is 7434 Song Lake Rd, Tully, New York. You can reach out to his office (for appointments etc.) via phone at (315) 569-6329.

Dr Jerry Russell Bartleson is licensed to practice in New York (license number 163749) 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 1386686376.

Contact Information

Dr Jerry Russell Bartleson, MD
7434 Song Lake Rd,
Tully, NY 13159-9211
(315) 569-6329
(315) 696-5539

Map and Direction




Physician's Profile

Full NameDr Jerry Russell Bartleson
GenderMale
SpecialityEmergency Medicine
Experience43 Years
Location7434 Song Lake Rd, Tully, New York
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:
  • Dr Jerry Russell Bartleson graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1386686376
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 01/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0042102667
  • Enrollment ID: I20040625000032

Medical Identifiers

Medical identifiers for Dr Jerry Russell Bartleson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386686376NPI-NPPES
981088900MedicaidMN
31522700MedicaidWI
163749MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 31435 (Minnesota)Secondary
207P00000XEmergency Medicine 28860 (Wisconsin)Secondary
207P00000XEmergency Medicine MD446096 (Pennsylvania)Secondary
207P00000XEmergency Medicine 163749 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Shore HealthGrand marais, MNHospital
Lakewood Health CenterBaudette, MNHospital
Bucktail Medical CenterRenovo, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakewood Health Center569868792911

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 Jerry Russell Bartleson allows following entities to bill medicare on his behalf.
Entity NameLakewood Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972799237
PECOS PAC ID: 5698687929
Enrollment ID: O20031104000469
Entity NameSwift County-benson Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174529002
PECOS PAC ID: 8729069281
Enrollment ID: O20040528001145
Entity NameCook County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487712493
PECOS PAC ID: 4284629742
Enrollment ID: O20050906000732
Entity NameLakewood Health Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1922072776
PECOS PAC ID: 5698687929
Enrollment ID: O20080118000179
Entity NameCook County Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1487712493
PECOS PAC ID: 4284629742
Enrollment ID: O20091207000102

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 Jerry Russell Bartleson 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 Jerry Russell Bartleson, MD
7434 Song Lake Rd,
Tully, NY 13159-9211

Ph: (315) 569-6329		Dr Jerry Russell Bartleson, MD
7434 Song Lake Rd,
Tully, NY 13159-9211

Ph: (315) 569-6329

Reviews and Comments


Emergency Medicine Doctors in Tully, NY

Gregory Scott Steencken, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Po Box 341, Tully, NY 13159
Phone: 315-707-8050    Fax: 315-227-0570

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.