Mrs Lisa D Burner, LCSW CAP is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Crestview, Florida. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Ppcc, Inc. and her current practice location is
259 Oakdale Ave East, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 682-1234.
Mrs Lisa D Burner is licensed to practice in Florida (license number 2871) 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 1750472841.
Healthcare Provider's Profile
| Full Name | Mrs Lisa D Burner |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 27 Years |
|---|
| Location | 259 Oakdale Ave East, Crestview, Florida |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mrs Lisa D Burner graduated from medical school in 1997
NPI Data:
- NPI Number: 1750472841
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 04/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 6204924061
- Enrollment ID: I20071113000417
Medical Identifiers
Medical identifiers for Mrs Lisa D Burner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750472841 | NPI | - | NPPES |
| 766762100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | SW 6803 (Florida) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2871 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ppcc, Inc. | 3870627284 | 3 |
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. Mrs Lisa D Burner allows following entities to bill medicare on her behalf.
| Entity Name | Ppcc, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1164747739
PECOS PAC ID: 3870627284
Enrollment ID: O20100819000919 |
|---|
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. Mrs Lisa D Burner 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 |
|---|
Mrs Lisa D Burner, LCSW CAP
396 Garden St,
Crestview, FL 32536-1734
Ph: (850) 398-6173 | Mrs Lisa D Burner, LCSW CAP
259 Oakdale Ave East,
Crestview, FL 32536
Ph: (850) 682-1234 |
Reviews and Comments