Dr Bruce Ellis Burner Sr, MD is a medicare enrolled "Family Medicine" physician in Marion, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Main Street Medical Associates Llc and his current practice location is
618 N Main St, Marion, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 433-8010.
Dr Bruce Ellis Burner Sr is licensed to practice in South Carolina (license number 12643) 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 1891779807.
Physician's Profile
Full Name | Dr Bruce Ellis Burner Sr |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 40 Years |
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Location | 618 N Main St, Marion, South Carolina |
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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. |
Medical Education and Training:
- Dr Bruce Ellis Burner Sr attended and graduated from Medical University Of South Carolina College Of Medicine in 1984
NPI Data:
- NPI Number: 1891779807
- Provider Enumeration Date: 12/02/2005
- Last Update Date: 04/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567481187
- Enrollment ID: I20051114000306
Medical Identifiers
Medical identifiers for Dr Bruce Ellis Burner Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891779807 | NPI | - | NPPES |
126438 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 12643 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 12643 (South Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Main Street Medical Associates Llc | 8123430857 | 2 |
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 Bruce Ellis Burner Sr allows following entities to bill medicare on his behalf.
Entity Name | Carolina Family Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
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Entity Name | My House Call Doctor Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497223101 PECOS PAC ID: 9537409214 Enrollment ID: O20190315000068 |
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Entity Name | Main Street Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144822735 PECOS PAC ID: 8123430857 Enrollment ID: O20201222000186 |
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Entity Name | Musc Community Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
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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. Dr Bruce Ellis Burner Sr 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 Bruce Ellis Burner Sr, MD Po Box 1440, Marion, SC 29571-1440 Ph: (843) 433-8010 | Dr Bruce Ellis Burner Sr, MD 618 N Main St, Marion, SC 29571-3034 Ph: (843) 433-8010 |
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