Bradley D Burgess, MA is a medicare enrolled "Counselor - Professional" provider in Society Hill, South Carolina. He graduated from healthcare school in 2010 and has 16 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Caresouth Carolina Inc. and his current practice location is
737 S Main St, Society Hill, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 378-4501.
Bradley D Burgess is licensed to practice in South Carolina (license number 6071) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730480971.
Healthcare Provider's Profile
| Full Name | Bradley D Burgess |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 16 Years |
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| Location | 737 S Main St, Society Hill, South Carolina |
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| Accepts Medicare Assignments | Yes. He 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:
- Bradley D Burgess graduated from medical school in 2010
NPI Data:
- NPI Number: 1730480971
- Provider Enumeration Date: 11/04/2010
- Last Update Date: 09/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 1951619667
- Enrollment ID: I20240227002622
Medical Identifiers
Medical identifiers for Bradley D Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730480971 | NPI | - | NPPES |
| PC1532 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 6071 (South Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6071 (South Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 6071 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Caresouth Carolina Inc. | 1052221314 | 66 |
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. Bradley D Burgess allows following entities to bill medicare on his behalf.
| Entity Name | Caresouth Carolina Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280 |
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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. Bradley D Burgess 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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Bradley D Burgess, MA
Po Box 1090,
Hartsville, SC 29551-1090
Ph: (843) 857-0111 | Bradley D Burgess, MA
737 S Main St,
Society Hill, SC 29593-8972
Ph: (843) 378-4501 |
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