Clarissa Diann Burns, NP is a medicare enrolled "Nurse Practitioner" physician in Mcdonough, Georgia. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Medical Care Corporation and her current practice location is
80 Vinings Dr, Mcdonough, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 302-6780.
Clarissa Diann Burns is licensed to practice in Georgia (license number RN207030) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568092518.
Physician's Profile
| Full Name | Clarissa Diann Burns |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 80 Vinings Dr, Mcdonough, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Clarissa Diann Burns graduated from medical school in 2021
NPI Data:
- NPI Number: 1568092518
- Provider Enumeration Date: 01/17/2020
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991180036
- Enrollment ID: I20220909002947
Medical Identifiers
Medical identifiers for Clarissa Diann Burns such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568092518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | RN207030 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN207030 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Piedmont Medical Care Corporation | 6002802220 | 327 |
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. Clarissa Diann Burns allows following entities to bill medicare on her behalf.
| Entity Name | Southside Medical Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357 |
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| Entity Name | Piedmont Medical Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
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| Entity Name | Mc Medical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356907695 PECOS PAC ID: 4183955974 Enrollment ID: O20191009000622 |
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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. Clarissa Diann 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 Address | Practice Location Address |
Clarissa Diann Burns, NP 245 Juliet Dr, Hampton, GA 30228-4834 Ph: () - | Clarissa Diann Burns, NP 80 Vinings Dr, Mcdonough, GA 30253-5994 Ph: (770) 302-6780 |
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