Dr Harry Russell Burger, DO is a medicare enrolled "General Practice" physician in Cedar Crest, New Mexico. His current practice location is
12127 B Hwy 14 N, Ste 5, Cedar Crest, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 281-2460.
Dr Harry Russell Burger is licensed to practice in New Mexico (license number A-1224-03) 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 1477510543.
Physician's Profile
| Full Name | Dr Harry Russell Burger |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 12127 B Hwy 14 N, Cedar Crest, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477510543
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 01/30/2017
Medicare PECOS Information:
- PECOS PAC ID: 9335206176
- Enrollment ID: I20090324000244
Medical Identifiers
Medical identifiers for Dr Harry Russell Burger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477510543 | NPI | - | NPPES |
| 01324331 | Medicaid | NM | |
| 01786342 | Medicaid | NM | |
| 46650024 | Medicaid | NM | |
| 53938577 | Medicaid | NM | |
| 51305879 | Medicaid | NM | |
| 1324331 | Medicaid | NM | |
| 28777841 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | A122403 (New Mexico) | Secondary |
| 208600000X | Surgery | A122403 (New Mexico) | Secondary |
| 208D00000X | General Practice | A-1224-03 (New Mexico) | 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 Harry Russell Burger allows following entities to bill medicare on his behalf.
| Entity Name | New Mexico Pac Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801325634
PECOS PAC ID: 3072889211
Enrollment ID: O20171016003197 |
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| Entity Name | Nm Pacs 2 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366928749
PECOS PAC ID: 3375892060
Enrollment ID: O20180814000050 |
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| Entity Name | Daiya Healthcare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477027381
PECOS PAC ID: 6002158615
Enrollment ID: O20200903001256 |
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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 Harry Russell Burger 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 Harry Russell Burger, DO
12127b Hwy 14 N, Ste 5,
Cedar Crest, NM 87008-9461
Ph: (505) 281-2460 | Dr Harry Russell Burger, DO
12127 B Hwy 14 N, Ste 5,
Cedar Crest, NM 87008-9461
Ph: (505) 281-2460 |
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