Dylan Scott Burditt, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mammoth Lakes, California. He graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice County Of Mono and his current practice location is
1290 Tavern Rd, Mammoth Lakes, California. You can reach out to his office (for appointments etc.) via phone at
(760) 924-1740.
Dylan Scott Burditt is licensed to practice in California (license number 120904) 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 1235802141.
Healthcare Provider's Profile
| Full Name | Dylan Scott Burditt |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 5 Years |
|---|
| Location | 1290 Tavern Rd, Mammoth Lakes, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dylan Scott Burditt graduated from medical school in 2021
NPI Data:
- NPI Number: 1235802141
- Provider Enumeration Date: 07/27/2021
- Last Update Date: 02/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 0941776025
- Enrollment ID: I20260416000861
Medical Identifiers
Medical identifiers for Dylan Scott Burditt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235802141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 120904 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| County Of Mono | 8527045665 | 2 |
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. Dylan Scott Burditt allows following entities to bill medicare on his behalf.
| Entity Name | County of Mono |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1538266911
PECOS PAC ID: 8527045665
Enrollment ID: O20120420000458 |
|---|
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. Dylan Scott Burditt 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 |
|---|
Dylan Scott Burditt, LCSW
Po Box 9038,
Mammoth Lakes, CA 93546-9038
Ph: (760) 914-2143 | Dylan Scott Burditt, LCSW
1290 Tavern Rd,
Mammoth Lakes, CA 93546-6601
Ph: (760) 924-1740 |
Reviews and Comments