Medicare Doctors and Clinicians
5413822811 · Physician Assistant · 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Overview
Thomas Dale Brieske is a physician assistant enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is BEND MEMORIAL CLINIC PC. The business address is 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051. Published on January 22, 2024.
Enrollment Information
NPI | 1144948803 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
PAC ID | 2860844255 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
Professional Enrollment ID | I20240122002714 |
Full Name | THOMAS DALE BRIESKE |
Gender | M |
Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
Graduation Year | 2023 |
Primary Specialty | PHYSICIAN ASSISTANT |
Organization Legal Name | BEND MEMORIAL CLINIC PC |
Group Practice PAC ID | 7214936533 |
Number of Group Practice Members | 204 |
Address | 1501 Ne Medical Ctr Dr Bend OR 97701-6051 |
Telephone | 5413822811 |
Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Provider Overview
NPI | 1144948803 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
Provider Name | THOMAS DALE BRIESKE |
Address | 815 Sw Bond St Bend OR 97702-3593 |
Taxonomy Code | 363A00000X |
Enumeration Date | 2022-08-18 |
Organization Information
Organization Legal Name | BEND MEMORIAL CLINIC PC |
Address | 1501 Ne Medical Ctr Dr Bend OR 97701-6051 |
Telephone | 5413822811 |
Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
Doctors with the same organization
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Carolyn L Luppens | General Surgery | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Scout Fallon Gregerson | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Kendra Michelle Caudle | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Jennifer Burtner | Emergency Medicine | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
May S Fan | Family Practice | Bend Memorial Clinic PC | 231 E Cascade Ave, Sisters, OR 97759-1140 |
Mark R Burge | Endocrinology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Katie T Kahl | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Rebecca Barnhart Kryck | Physician Assistant | Bend Memorial Clinic PC | 2500 Ne Neff Rd, St. Charles Medical Center Bend, Bend, OR 97701-6015 |
Alice Tran | Family Practice | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Kaylie M Laplante | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
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Doctors with the same school
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Tara Perti | Internal Medicine | Mckenzie Physician Services LLC | 960 N 16th St, Suite 108, Springfield, OR 97477-4175 |
Cassidy A Ermshar | Physician Assistant | Amber Campbell Arnp | 2612 Yelm Hwy Se, Olympia, WA 98501-4826 |
Madisen Eve Robertus | Physician Assistant | Columbia Gorge Medical Center PC | 1750 12th St, Hood River, OR 97031-9540 |
Arthur Griffin | Physician Assistant | Platte Valley Medical Group LLC | 16570 Washington St, Scl Health Medical Group Orthopedics Larkridge, Thornton, CO 80023-8964 |
Jordan Seto | Family Practice | Yelm Family Medicine, PLLC | 201 Tahoma Blvd, Unit 102, Yelm, WA 98597-7735 |
Anton Victor Clark | Physician Assistant | Orthoalaska LLC | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 |
Matthew Perez | Allergy/Immunology | Northwest Asthma and Allergy Center | 8301 161st Ave Ne, Suite 308, Redmond, WA 98052-3858 |
Amaya Basta | Diagnostic Radiology | St Thomas Radiology Associates LLC | Paragon Med Bldg, 103 52c A Estate Thomas, St Thomas, VI 00802-0001 |
Michalina Kupsik | Surgical Oncology | Cancer Care Northwest Centers P S | 601 S Sherman St, Spokane, WA 99202-1311 |
Paul Mack | Physician Assistant | Bullhead Urgent Care Coporation | 1355 Ramar Rd, Suite 11, Bullhead City, AZ 86442-7100 |
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Location Information
Street Address | 1501 NE MEDICAL CTR DR |
City | BEND |
State | OR |
Zip Code | 97701-6051 |
Doctors in the same location
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Lindsey Sage Cabrera | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Katie T Kahl | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Scout Fallon Gregerson | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Carolyn L Luppens | General Surgery | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Sarah A Struthers | Nephrology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Kendra Michelle Caudle | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Alice Tran | Family Practice | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Rachel Scott | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Jeremy Feldman | Pulmonary Disease | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Mark R Burge | Endocrinology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
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Doctors in the same zip code
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Jesse Leigh Kratz | Mental Health Counselor | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Jennifer E Troth | Physical Therapy | Mobile Physical Therapy, LLC | 1031 Nw Kingston Ave, Bend, OR 97701-0001 |
Dani Rane Walker Novi | Clinical Social Worker | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Annemieke Mattanja Austin | Family Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
Lindsey Lee Henderson | Nurse Practitioner | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Kelly Belczyk | Clinical Social Worker | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Lisa J Uri | Family Practice | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
Lance Adams | Hospitalist | 20700 Wandalea Dr, Bend, OR 97701-1594 | |
Sarah Haefele | Clinical Social Worker | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Glenn J Asti | Chiropractic | 1052 Nw Newport Ave, Suite 101, Bend, OR 97701-1679 | |
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Similar Physicians
Doctors with similar names
Doctor Name | Primary Specialty | Organization Legal Name | Address |
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Thomas Dale Reifschneider | Chiropractic | 2 E 18th St, Fort Scott, KS 66701-3010 | |
Thomas Dale Godfrey | Nurse Practitioner | Prisma Health University Medical Group | 210 Freeman Farm Rd, Duncan, SC 29334-9398 |
Thomas Dale Greene | Optometry | Central Missouri Eyecare Associates LLC | 1445 Christy Dr, Suite A, Jefferson City, MO 65101-2853 |
Thomas A Dale II | Family Practice | Kentucky Orthopedic Rehabilitation LLC | 836 Euclid Ave, Suite 104, Lexington, KY 40502-1783 |
Hollie Brieske | Nurse Practitioner | Select Physical Therapy of West Denver Limited Partnership | 400 Indiana St, Suite 340, Golden, CO 80401-5033 |
Dale Yoo | Cardiac Electrophysiology | Heart Rhythm Specialists PLLC | 4500 Hillcrest Rd, Suite 100, Frisco, TX 75035-5419 |
Erwin Dale Thomas | Family Practice | City Medical of Upper East Side PLLC | 3111 Steinway St, Astoria, NY 11103-3908 |
Dale Y Yu | Cardiovascular Disease (Cardiology) | Southern California Permanente Medical Group | 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 |
Dale Thomas Landry Jr. | Orthopedic Surgery | Orthopaedic Associates, Pa | 1034 Mar Walt Dr, Unit 100, Fort Walton Beach, FL 32547-6637 |
Thomas Dale Barefoot | Anesthesiology | Associated Anesthesiologists, Inc. | 6839 S Canton Ave, Tulsa, OK 74136-3402 |
Improve Information
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Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.