Zachery R Bjore, PA-C is a medicare enrolled "Physician Assistant - Medical" in Mayville, North Dakota. His current practice location is
730 Main St E, Mayville, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 786-4500.
Zachery R Bjore is licensed to practice in North Dakota (license number PAC0417) 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 1831425388.
Provider's Profile
| Full Name | Zachery R Bjore |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 730 Main St E, Mayville, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831425388
- Provider Enumeration Date: 10/19/2009
- Last Update Date: 10/19/2009
Medicare PECOS Information:
- PECOS PAC ID: 9234277815
- Enrollment ID: I20170329002722
Medical Identifiers
Medical identifiers for Zachery R Bjore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831425388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | PAC0417 (North Dakota) | 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. Zachery R Bjore allows following entities to bill medicare on his behalf.
| Entity Name | Campbell County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
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| Entity Name | Summit Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457802993 PECOS PAC ID: 5092094532 Enrollment ID: O20161128000947 |
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| Entity Name | Ivinson Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
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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. Zachery R Bjore 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 |
Zachery R Bjore, PA-C Po Box 2168, Fargo, ND 58107-2168 Ph: (701) 786-4500 | Zachery R Bjore, PA-C 730 Main St E, Mayville, ND 58257-1606 Ph: (701) 786-4500 |
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