Russell R Burken, MD is a
Dermatology physician based in Toccoa, Georgia. Russell R Burken is licensed to practice in Georgia (license number 30438) and his current practice location is 274 Big A Road, Toccoa, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 886-6069.
NPI number for Russell R Burken is 1508858200 and his current mailing address is 274 Big A Road, Toccoa, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508858200.
Physician's Profile
| Full Name | Russell R Burken |
|---|
| Gender | Male |
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| Speciality | Dermatology |
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| Location | 274 Big A Road, Toccoa, Georgia |
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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: 1508858200
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 06/25/2015
Medical Identifiers
Medical identifiers for Russell R Burken such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508858200 | NPI | - | NPPES |
| 000363932A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 30438 (Georgia) | 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. Russell R Burken 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 |
|---|
Russell R Burken, MD
274 Big A Road,
Toccoa, GA 30577-6002
Ph: (706) 886-6069 | Russell R Burken, MD
274 Big A Road,
Toccoa, GA 30577-6002
Ph: (706) 886-6069 |
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