Kristen R Burkholder, MD - Medicare Family Practice in Shonto, AZ

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Kristen R Burkholder, MD is a medicare enrolled "Family Medicine" physician in Shonto, Arizona. She graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Tuba City Regional Health Care Corporation and her current practice location is Hwy 98 & Navajo Route 16, Shonto, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 672-3000.

Kristen R Burkholder is licensed to practice in Arizona (license number 41592) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083795108.

Contact Information

Kristen R Burkholder, MD
Hwy 98 & Navajo Route 16,
Shonto, AZ 86044-7397
(928) 672-3000
(928) 697-3005

Map and Direction




Physician's Profile

Full NameKristen R Burkholder
GenderFemale
SpecialityFamily Practice
Experience24 Years
LocationHwy 98 & Navajo Route 16, Shonto, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristen R Burkholder graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1083795108
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 12/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4981626553
  • Enrollment ID: I20051222000638

Medical Identifiers

Medical identifiers for Kristen R Burkholder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083795108NPI-NPPES
981482MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 41592 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tuba City Regional Health Care CorporationTuba city, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tuba City Regional Health Care Corporation4284542531151

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. Kristen R Burkholder allows following entities to bill medicare on her behalf.
Entity NameTuba City Regional Health Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548294424
PECOS PAC ID: 4284542531
Enrollment ID: O20031105000107
Entity NameDhhs Phs Naihs Chinle Comprehensive Health Care Facility
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508800129
PECOS PAC ID: 9436062585
Enrollment ID: O20031106000210
Entity NameKayenta Alternative Rural Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174692529
PECOS PAC ID: 3678558129
Enrollment ID: O20040621000422
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396022026
PECOS PAC ID: 0244405629
Enrollment ID: O20120105000013
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265719934
PECOS PAC ID: 7810163011
Enrollment ID: O20120109000961

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. Kristen R 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
Kristen R Burkholder, MD
Po Box 368,
Kayenta, AZ 86033-0368

Ph: (928) 697-4000		Kristen R Burkholder, MD
Hwy 98 & Navajo Route 16,
Shonto, AZ 86044-7397

Ph: (928) 672-3000

Reviews and Comments


Family Medicine Doctors in Shonto, AZ


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.