Michelle E Burnham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Van Buren, Missouri. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dermatology Office Pc, Tinsley Home Medical Services Llc and her current practice location is
402 Main St, Van Buren, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 323-4253.
Michelle E Burnham is licensed to practice in Missouri (license number 155361) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275781254.
Provider's Profile
| Full Name | Michelle E Burnham |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 16 Years |
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| Location | 402 Main St, Van Buren, Missouri |
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| Accepts Medicare Assignments | Yes. She 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:
- Michelle E Burnham graduated from nursing school in 2008
NPI Data:
- NPI Number: 1275781254
- Provider Enumeration Date: 09/03/2008
- Last Update Date: 03/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 2567599186
- Enrollment ID: I20100429000891
Medical Identifiers
Medical identifiers for Michelle E Burnham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275781254 | NPI | - | NPPES |
| 1275781254 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 155361 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dermatology Office Pc | 0244392009 | 6 |
| Tinsley Home Medical Services Llc | 6608275334 | 5 |
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. Michelle E Burnham allows following entities to bill medicare on her behalf.
| Entity Name | Dermatology Office Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043462591
PECOS PAC ID: 0244392009
Enrollment ID: O20090105000113 |
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| Entity Name | Tinsley Home Medical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003406539
PECOS PAC ID: 6608275334
Enrollment ID: O20210528000492 |
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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. Michelle E Burnham 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 |
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Michelle E Burnham, FNP
Po Box 157,
Ellington, MO 63638-0157
Ph: (573) 663-2313 | Michelle E Burnham, FNP
402 Main St,
Van Buren, MO 63965-0000
Ph: (573) 323-4253 |
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