Dr Jerald W Bamburg Jr, PHD in Pineville, LA - Medicare Psychologist Provider

Dr Jerald W Bamburg Jr, PHD is a medicare enrolled "Psychologist - Intellectual & Developmental Disabilities" provider in Pineville, Louisiana. His current practice location is 106 N Bend Dr, Pineville, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 442-4498.

Dr Jerald W Bamburg Jr is licensed to practice in Louisiana (license number 951) 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 1598926644.

Contact Information

	Dr Jerald W Bamburg Jr, PHD
	106 N Bend Dr, Pineville, LA 71360-4677
	(318) 442-4498
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jerald W Bamburg Jr
Gender	Male
Speciality	Psychologist - Intellectual & Developmental Disabilities
Location	106 N Bend Dr, Pineville, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598926644
Provider Enumeration Date: 06/20/2008
Last Update Date: 01/11/2010

Medicare PECOS Information:

PECOS PAC ID: 7113094244
Enrollment ID: I20080916000093

Medical Identifiers

Medical identifiers for Dr Jerald W Bamburg Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598926644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	951 (Louisiana)	Secondary
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	951 (Louisiana)	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. Dr Jerald W Bamburg Jr allows following entities to bill medicare on his behalf.

Entity Name	Bamburg Consulting, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083862353 PECOS PAC ID: 7012084148 Enrollment ID: O20080916000101

Entity Name	Behavioral Specialists Of La
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801289020 PECOS PAC ID: 4486973229 Enrollment ID: O20150429001808

Entity Name	Behavioral Specialists 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104303775 PECOS PAC ID: 2163774472 Enrollment ID: O20181016000511

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 Jerald W Bamburg Jr 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
Dr Jerald W Bamburg Jr, PHD 106 N Bend Dr, Pineville, LA 71360-4677 Ph: (318) 442-4498	Dr Jerald W Bamburg Jr, PHD 106 N Bend Dr, Pineville, LA 71360-4677 Ph: (318) 442-4498

Reviews and Comments

Psychologist in Pineville, LA

Mercedes Gremillion, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-446-4610
Dr. Roderick E. Adams, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2631 Donahue Ferry Rd, Pineville, LA 71360 Phone: 318-641-0800 Fax: 318-641-0866
Danielle Paul, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 Hillsdale Dr, Pineville, LA 71360 Phone: 954-210-6070 Fax: 888-900-2325
Dr. Heather Elise Sterling, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2217 Shreveport Hwy Ste B, Pineville, LA 71360 Phone: 225-221-9216
Dr. Joseph Anthony Lamanna, D.ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-466-4185
Dr. Fay Carol Thrasher, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy 71n, Pineville, LA 71360 Phone: 318-473-0010
Dr. Adam Michael Lewis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Alexandria Va Health Care System, 2495 Shreveport Hwy, Psychology Service (116b), Pineville, LA 71360 Phone: 318-466-4185

Dr Jerald W Bamburg Jr, PHD - Medicare Psychologist in Pineville, LA