Jeannie Boram Ur, MD is a medicare enrolled "Hospitalist" physician in Dyer, Indiana. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Franciscan Physician Network and her current practice location is
24 Joliet St, Dyer, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 865-2141.
Jeannie Boram Ur is licensed to practice in Indiana (license number 01086395A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033616305.
Physician's Profile
Full Name | Jeannie Boram Ur |
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Gender | Female |
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Speciality | Hospitalist |
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Experience | 9 Years |
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Location | 24 Joliet St, Dyer, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jeannie Boram Ur attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2015
NPI Data:
- NPI Number: 1033616305
- Provider Enumeration Date: 04/12/2018
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890040299
- Enrollment ID: I20210824002806
Medical Identifiers
Medical identifiers for Jeannie Boram Ur such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033616305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 01086395A (Indiana) | Primary |
207R00000X | Internal Medicine | 57.246226 (Ohio) | Secondary |
207R00000X | Internal Medicine | 01086395A (Indiana) | Secondary |
208M00000X | Hospitalist | 35.140293 (Ohio) | Secondary |
207R00000X | Internal Medicine | 35.140293 (Ohio) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Franciscan Physician Network | 3072790682 | 989 |
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. Jeannie Boram Ur allows following entities to bill medicare on her behalf.
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
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Entity Name | Northwest Hospitalist Physicians, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023448321 PECOS PAC ID: 0244397693 Enrollment ID: O20140205000078 |
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Entity Name | Galen Inpatient Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871178368 PECOS PAC ID: 3678464633 Enrollment ID: O20210709002087 |
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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. Jeannie Boram Ur 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 |
Jeannie Boram Ur, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Jeannie Boram Ur, MD 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 865-2141 |
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