Dr Annette G Burst, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Ogden, Utah. Her current practice location is
3500 Harrison Blvd Ste 200, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 668-2010.
Dr Annette G Burst is licensed to practice in Utah (license number 1689991205) 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 1285698217.
Physician's Profile
| Full Name | Dr Annette G Burst |
|---|
| Gender | Female |
|---|
| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
|---|
| Location | 3500 Harrison Blvd Ste 200, Ogden, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1285698217
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 02/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 5991754889
- Enrollment ID: I20090922000788
Medical Identifiers
Medical identifiers for Dr Annette G Burst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285698217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 1689991205 (Utah) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 01023829A (Indiana) | Secondary |
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. Dr Annette G Burst allows following entities to bill medicare on her behalf.
| Entity Name | Brookstar Knee Clinic Ii |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1447607122
PECOS PAC ID: 1850680620
Enrollment ID: O20160518000271 |
|---|
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. Dr Annette G Burst 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 |
|---|
Dr Annette G Burst, MD
3500 Harrison Blvd Ste 200,
Ogden, UT 84403-2038
Ph: (801) 668-2010 | Dr Annette G Burst, MD
3500 Harrison Blvd Ste 200,
Ogden, UT 84403-2038
Ph: (801) 668-2010 |
Reviews and Comments