Kenneth R Burg, MD is a
Psychiatry & Neurology - Psychiatry physician based in Waupun, Wisconsin. Kenneth R Burg is licensed to practice in Wisconsin (license number 47945) and his current practice location is 1 W Lincoln St, Waupun, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 324-5577.
NPI number for Kenneth R Burg is 1558311613 and his current mailing address is 1 W Lincoln St, Waupun, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558311613.
Physician's Profile
| Full Name | Kenneth R Burg |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1 W Lincoln St, Waupun, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558311613
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 11/16/2012
Medical Identifiers
Medical identifiers for Kenneth R Burg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558311613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 47945 (Wisconsin) | Primary |
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. Kenneth R Burg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth R Burg, MD
1 W Lincoln St,
Waupun, WI 53963-1949
Ph: (920) 324-5577 | Kenneth R Burg, MD
1 W Lincoln St,
Waupun, WI 53963-1949
Ph: (920) 324-5577 |
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