Jack E Berndt, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Bend, Oregon. His current practice location is
1715 Sw Chandler Ave, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 588-5620.
Jack E Berndt is licensed to practice in Missouri (license number 2026010959) 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 1467408682.
Physician's Profile
| Full Name | Jack E Berndt |
|---|
| Gender | Male |
|---|
| Speciality | Pain Medicine - Pain Medicine |
|---|
| Location | 1715 Sw Chandler Ave, Bend, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1467408682
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 09/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 0345214193
- Enrollment ID: I20040825001638
Medical Identifiers
Medical identifiers for Jack E Berndt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467408682 | NPI | - | NPPES |
| 022708 | Medicaid | OR | |
| 2026010959 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | MD25340 (Oregon) | Secondary |
| 174400000X | Specialist | 2026010959 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 2026010959 (Missouri) | Secondary |
| 174400000X | Specialist | MD25340 (Oregon) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 2026010959 (Missouri) | 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. Jack E Berndt allows following entities to bill medicare on his behalf.
| Entity Name | North Bend Medical Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1407812365
PECOS PAC ID: 5597677716
Enrollment ID: O20031105000138 |
|---|
| Entity Name | Bay Area Hospital District |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1225016561
PECOS PAC ID: 2163331000
Enrollment ID: O20040310000301 |
|---|
| Entity Name | Bend Memorial Clinic PC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1699827477
PECOS PAC ID: 7214936533
Enrollment ID: O20061215000022 |
|---|
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. Jack E Berndt 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 |
|---|
Jack E Berndt, MD
1715 Sw Chandler Ave,
Bend, OR 97702-3615
Ph: (541) 588-5620 | Jack E Berndt, MD
1715 Sw Chandler Ave,
Bend, OR 97702-3615
Ph: (541) 588-5620 |
Reviews and Comments