Dr Charles K Burlison, MD in Shreveport, LA - Medicare Obstetrics & Gynecology

Dr Charles K Burlison, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Shreveport, Louisiana. His current practice location is 1541 Kings Hwy, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 626-0000.

Dr Charles K Burlison is licensed to practice in Louisiana (license number MD.022218) 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 1366481434.

Contact Information

	Dr Charles K Burlison, MD
	1541 Kings Hwy, Shreveport, LA 71103-4228
	(318) 626-0000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Charles K Burlison
Gender	Male
Speciality	Obstetrics & Gynecology
Location	1541 Kings Hwy, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366481434
Provider Enumeration Date: 06/05/2006
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 1759356280
Enrollment ID: I20040830000073

Medical Identifiers

Medical identifiers for Dr Charles K Burlison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366481434	NPI	-	NPPES
203834015	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	114937 (Missouri)	Secondary
207V00000X	Obstetrics & Gynecology	MD.022218 (Louisiana)	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. Dr Charles K Burlison allows following entities to bill medicare on his behalf.

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

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 Charles K Burlison 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 Charles K Burlison, MD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 626-0287	Dr Charles K Burlison, MD 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000

Reviews and Comments

Obstetrics & Gynecology Doctors in Shreveport, LA

Sabrina Benefield Castle, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2510 W. Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000 Fax: 903-553-7751
Rodney Wise, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Dept Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-8700 Fax: 318-675-8706
James Barrow, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ob Gyn, Shreveport, LA 71103 Phone: 318-675-5000
Melissa Fett Jordan, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3100 Fairfield Ave, Unit 10a, Shreveport, LA 71104 Phone: 318-201-3939
Amanda Deadmond, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9391 Ellerbe Rd Ste C, Shreveport, LA 71106 Phone: 318-408-0100 Fax: 601-202-4685
Russell D Burlison, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4400 Fax: 318-798-4621
Dr. Ricky Allen Paul, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr Ste 600, Shreveport, LA 71115 Phone: 318-212-3890 Fax: 318-212-3888

Dr Charles K Burlison, MD - Medicare Obstetrics & Gynecology in Shreveport, LA