Jeffrey Daniel Burry, DO is a medicare enrolled "Otolaryngology" physician in Lewiston, Idaho. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Valley Facial Plastics And Ent, Pa, Valley Facial Plastics And Ent, Pa and his current practice location is
330 Warner Dr, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 746-0193.
Jeffrey Daniel Burry is licensed to practice in Idaho (license number O-337) 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 1275698367.
Physician's Profile
| Full Name | Jeffrey Daniel Burry |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 24 Years |
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| Location | 330 Warner Dr, Lewiston, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeffrey Daniel Burry attended and graduated from Philadelphia College Of Osteopathic Medicine in 2000
NPI Data:
- NPI Number: 1275698367
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 04/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698662229
- Enrollment ID: I20040806000513
Medical Identifiers
Medical identifiers for Jeffrey Daniel Burry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275698367 | NPI | - | NPPES |
| 8398166 | Medicaid | WA | |
| 000010147208 | Other | | REGENCE BLUESHIELD OF ID |
| 55098 | Other | | BLUECROSS OF IDAHO |
| 806910700 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | OP00001929 (Washington) | Secondary |
| 207Y00000X | Otolaryngology | O-337 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Valley Facial Plastics And Ent, Pa | 0840197166 | 4 |
| Valley Facial Plastics And Ent, Pa | 0840197166 | 4 |
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. Jeffrey Daniel Burry allows following entities to bill medicare on his behalf.
| Entity Name | Valley Facial Plastics & Ent, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952441024
PECOS PAC ID: 0840197166
Enrollment ID: O20031216000072 |
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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. Jeffrey Daniel Burry 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 |
|---|
Jeffrey Daniel Burry, DO
330 Warner Dr,
Lewiston, ID 83501-4441
Ph: (208) 746-0193 | Jeffrey Daniel Burry, DO
330 Warner Dr,
Lewiston, ID 83501-4441
Ph: (208) 746-0193 |
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