Dr Duncan Mark Burkholder, MD - Medicare Obstetrics/gynecology in Lubbock, TX

Dr Duncan Mark Burkholder, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Lubbock, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1983 and has 41 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Grace Clinic Of Lubbock and his current practice location is 4515 Marsha Sharp Fwy, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 744-7223.

Dr Duncan Mark Burkholder is licensed to practice in Texas (license number G4879) 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 1467430405.

Contact Information

Dr Duncan Mark Burkholder, MD
4515 Marsha Sharp Fwy,
Lubbock, TX 79407-2520
(806) 744-7223
(806) 740-3325

Map and Direction




Physician's Profile

Full NameDr Duncan Mark Burkholder
GenderMale
SpecialityObstetrics/gynecology
Experience41 Years
Location4515 Marsha Sharp Fwy, Lubbock, Texas
Accepts Medicare AssignmentsYes. 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 Duncan Mark Burkholder attended and graduated from University Of Texas Medical Branch At Galveston in 1983
  NPI Data:
  • NPI Number: 1467430405
  • Provider Enumeration Date: 01/09/2006
  • Last Update Date: 02/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476516428
  • Enrollment ID: I20050718000785

Medical Identifiers

Medical identifiers for Dr Duncan Mark Burkholder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467430405NPI-NPPES
8V8691OtherTXBCBS
128007508MedicaidTX
100122106OtherTXTEAM CHOICE- CORE
4361195OtherTXAETNA
100122106OtherTXFIRSTCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology G4879 (Texas)Secondary
207VG0400XObstetrics & Gynecology - Gynecology G4879 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grace Medical CenterLubbock, TXHospital
Covenant Childrens HospitalLubbock, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grace Clinic Of Lubbock559776810174

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 Duncan Mark Burkholder allows following entities to bill medicare on his behalf.
Entity NameGrace Clinic Of Lubbock
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912953357
PECOS PAC ID: 5597768101
Enrollment ID: O20060822000256

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 Duncan Mark Burkholder 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 AddressPractice Location Address
Dr Duncan Mark Burkholder, MD
4515 Marsha Sharp Fwy,
Lubbock, TX 79407-2520

Ph: (806) 744-7223
Dr Duncan Mark Burkholder, MD
4515 Marsha Sharp Fwy,
Lubbock, TX 79407-2520

Ph: (806) 744-7223

Reviews and Comments


Obstetrics & Gynecology Doctors in Lubbock, TX

Marcel Lamothe, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4102 24th St Ste 505, Lubbock, TX 79410
Phone: 806-725-7275    Fax: 806-723-7039
Esther Oluwakemi Ogunjimi, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3601 4th Street Ms 8340, Dept Ob/gyn, Lubbock, TX 79430
Phone: 209-476-2080    
Dr. Brent Boye Nall, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4515 Marsha Sharp Fwy, Lubbock, TX 79407
Phone: 806-744-7223    Fax: 806-740-3325
Joseph Kimberly Killeen, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4102 24 St, Suite 502, Lubbock, TX 79410
Phone: 806-725-6745    Fax: 806-723-6716
Kathleen Kay Sears, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 3709 22nd Pl Unit B, Lubbock, TX 79410
Phone: 806-797-2618    Fax: 806-791-3122
Bill Atkinson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4102 24th St, Ste 300, Lubbock, TX 79410
Phone: 806-725-5497    Fax: 806-723-6299
Rebecca Birdwell, NP-C
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 3601 4th St, Lubbock, TX 79430
Phone: 325-220-1371    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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