Enrique M Bursztyn, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tucumcari, New Mexico. His current practice location is
301 E Miel De Luna Ave, Tucumcari, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(800) 841-4236.
Enrique M Bursztyn is licensed to practice in New Mexico (license number MD2016-0635) 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 1669431367.
Physician's Profile
| Full Name | Enrique M Bursztyn |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 301 E Miel De Luna Ave, Tucumcari, 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. |
NPI Data:
- NPI Number: 1669431367
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547250433
- Enrollment ID: I20170711002901
Medical Identifiers
Medical identifiers for Enrique M Bursztyn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669431367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085N0700X | Radiology - Neuroradiology | 01063267A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 145707-1 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01063267A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD2016-0635 (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. Enrique M Bursztyn allows following entities to bill medicare on his behalf.
| Entity Name | Radiology Associates Of Albuquerque Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881666998 PECOS PAC ID: 2860304482 Enrollment ID: O20031103000381 |
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| Entity Name | Advanced Imaging Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558416974 PECOS PAC ID: 2860451648 Enrollment ID: O20070723000756 |
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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. Enrique M Bursztyn 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 |
Enrique M Bursztyn, MD Po Box 3212, Indianapolis, IN 46206-3212 Ph: (800) 841-4236 | Enrique M Bursztyn, MD 301 E Miel De Luna Ave, Tucumcari, NM 88401-3810 Ph: (800) 841-4236 |
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