Lola J Burke, MD is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" physician in Kingwood, West Virginia. Her current practice location is
428 Morgantown St Ste 1, Kingwood, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 329-7124.
Lola J Burke is licensed to practice in West Virginia (license number 25293) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972897684.
Physician's Profile
| Full Name | Lola J Burke |
|---|
| Gender | Female |
|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
|---|
| Location | 428 Morgantown St Ste 1, Kingwood, West Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1972897684
- Provider Enumeration Date: 05/31/2011
- Last Update Date: 03/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244458131
- Enrollment ID: I20140908000722
Medical Identifiers
Medical identifiers for Lola J Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972897684 | NPI | - | NPPES |
| 3810027539 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 25293 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 39113 (South Carolina) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 25293 (West Virginia) | 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. Lola J Burke allows following entities to bill medicare on her behalf.
| Entity Name | Grafton City Hospital Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1033264387
PECOS PAC ID: 7719897263
Enrollment ID: O20040513000160 |
|---|
| Entity Name | Preston Memorial Hospital Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1841230661
PECOS PAC ID: 5294645107
Enrollment ID: O20040609000164 |
|---|
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. Lola J Burke 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 |
|---|
Lola J Burke, MD
150 Memorial Dr,
Kingwood, WV 26537-1141
Ph: (304) 329-1400 | Lola J Burke, MD
428 Morgantown St Ste 1,
Kingwood, WV 26537-1140
Ph: (304) 329-7124 |
Reviews and Comments