Mr Keith Yale Burger, LISW-LPCC is a medicare enrolled "Social Worker - Clinical" provider in Cortland, Ohio. He graduated from healthcare school in 1972 and has 52 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Specialty Care Counseling Services Ltd and his current practice location is
197 W Main St, Cortland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 856-6640.
Mr Keith Yale Burger is licensed to practice in Ohio (license number OH I0000401) 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 1972591998.
Healthcare Provider's Profile
| Full Name | Mr Keith Yale Burger |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 52 Years |
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| Location | 197 W Main St, Cortland, Ohio |
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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:
- Mr Keith Yale Burger graduated from medical school in 1972
NPI Data:
- NPI Number: 1972591998
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 08/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 5698774081
- Enrollment ID: I20061213000037
Medical Identifiers
Medical identifiers for Mr Keith Yale Burger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972591998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | OH E0000169 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | OH I0000401 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Specialty Care Counseling Services Ltd | 5294787701 | 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. Mr Keith Yale Burger allows following entities to bill medicare on his behalf.
| Entity Name | Specialty Care Counseling Services Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972551141
PECOS PAC ID: 5294787701
Enrollment ID: O20050214000023 |
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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. Mr Keith Yale Burger 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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Mr Keith Yale Burger, LISW-LPCC
197 W Main St,
Cortland, OH 44410-1460
Ph: (330) 856-6640 | Mr Keith Yale Burger, LISW-LPCC
197 W Main St,
Cortland, OH 44410-1460
Ph: (330) 856-6640 |
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