Paul Joseph Burns, - Medicare Counselor in Sparta, NJ

Paul Joseph Burns, is a medicare enrolled "Counselor - Mental Health" provider in Sparta, New Jersey. His current practice location is 9 Fishers Ln, Sparta, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 726-4533.

Paul Joseph Burns is licensed to practice in New Jersey (license number 37PC00998300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063283240.

Contact Information

Paul Joseph Burns,
9 Fishers Ln,
Sparta, NJ 07871-2440
(973) 726-4533
Not Available

Map and Direction


Healthcare Provider's Profile

Full NamePaul Joseph Burns
GenderMale
SpecialityCounselor - Mental Health
Location9 Fishers Ln, Sparta, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063283240
  • Provider Enumeration Date: 01/15/2024
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981122884
  • Enrollment ID: I20250514003263

Medical Identifiers

Medical identifiers for Paul Joseph Burns such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063283240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 37PC00998300 (New Jersey)Primary

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. Paul Joseph Burns allows following entities to bill medicare on his behalf.
Entity NameLakeside Counseling Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578010674
PECOS PAC ID: 0840568754
Enrollment ID: O20170619001045

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. Paul Joseph Burns 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 AddressPractice Location Address
Paul Joseph Burns,
Po Box 91,
Vernon, NJ 07462-0091

Ph: (845) 544-6478
Paul Joseph Burns,
9 Fishers Ln,
Sparta, NJ 07871-2440

Ph: (973) 726-4533

Reviews and Comments


Counselor in Sparta, NJ

Dr. Matthew Putts, PHD, LRC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 139 W Shore Trl, Sparta, NJ 07871
Phone: 973-879-8525    
Isabel Juliette Nassi,
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Practice Location: 14 Main St, Sparta, NJ 07871
Phone: 201-498-9140    
Tierney Veliz, MA, ED.S, LPC
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Medicare: Not Enrolled in Medicare
Practice Location: 191 Woodport Rd Ste 209, Sparta, NJ 07871
Phone: 973-512-3700    
Melony K Bishop,
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Medicare: Not Enrolled in Medicare
Practice Location: 191 Woodport Rd, Sparta, NJ 07871
Phone: 973-512-3700    
Elizabeth Ellis, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 270 Sparta Ave, #203, Sparta, NJ 07871
Phone: 973-573-1500    
Cassidy Spohn, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 191 Woodport Rd, Sparta, NJ 07871
Phone: 973-512-3700    
Lisa Arline Frisbie, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 25 Main Street Rear Suite, Sparta, NJ 07871
Phone: 908-291-8466    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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