Mrs Mary H Burks, RD is a medicare enrolled "Dietitian, Registered - Nutrition, Renal" provider in Princeton, West Virginia. Her current practice location is
150 Courthouse Rd Ste 301-b, Princeton, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 425-0162.
Mrs Mary H Burks is licensed to practice in West Virginia (license number 726-136) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255600722.
Healthcare Provider's Profile
Full Name | Mrs Mary H Burks |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Renal |
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Location | 150 Courthouse Rd Ste 301-b, Princeton, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255600722
- Provider Enumeration Date: 12/29/2011
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476709098
- Enrollment ID: I20120814000006
Medical Identifiers
Medical identifiers for Mrs Mary H Burks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255600722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1005X | Dietitian, Registered - Nutrition, Renal | 726-136 (West Virginia) | 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. Mrs Mary H Burks allows following entities to bill medicare on her behalf.
Provider Name | Charleston Area Medical Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
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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. Mrs Mary H Burks 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 Mary H Burks, RD 2006 Devonshire Ct, Bluefield, WV 24701-1268 Ph: (304) 920-2767 | Mrs Mary H Burks, RD 150 Courthouse Rd Ste 301-b, Princeton, WV 24740-2450 Ph: (304) 425-0162 |
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