Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Albert Jackson Lilly III, MD

Individual provider Emergency Medicine Physician · NPI 1285677955

Albert Jackson Lilly III, MD is an Emergency Medicine in Bend, Oregon. Graduated from Eastern Virginia Medical School in 1997, 29 years ago. Practices with St Charles Health System Inc, a 383-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
29
Trained at
Eastern Virginia Medical School
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

61250 SE Coombs Pl
Bend, OR 97702-3704
Phone: (541) 706-5930
Fax: (541) 706-5931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD22604 (OR)

Record details

NPI number1285677955
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESApril 17, 2020
Certification dateApril 17, 2020
Mailing addressPo Box 5579, Bend, OR 97708-5579

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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