Sally A Burtle, MD - Medicare Dermatology in Richmond, CA

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Sally A Burtle, MD is a medicare enrolled "Dermatology" physician in Richmond, California. Her current practice location is 901 Nevin Ave, Richmond, California. You can reach out to her office (for appointments etc.) via phone at (510) 307-2372.

Sally A Burtle is licensed to practice in California (license number A94836) 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 1821093972.

Contact Information

Sally A Burtle, MD
901 Nevin Ave,
Richmond, CA 94801-3143
(510) 307-2372
(510) 307-2374

Map and Direction




Physician's Profile

Full NameSally A Burtle
GenderFemale
SpecialityDermatology
Location901 Nevin Ave, Richmond, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821093972
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 12/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719957505
  • Enrollment ID: I20070501000351

Medical Identifiers

Medical identifiers for Sally A Burtle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821093972NPI-NPPES
3648861OtherPAAETNA
2224495000OtherPAKEYSTONE HP EAST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD422621 (Pennsylvania)Secondary
207N00000XDermatology A94836 (California)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. Sally A Burtle allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameGreenbrae Dermatology, A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174898654
PECOS PAC ID: 4789832908
Enrollment ID: O20130123000375

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. Sally A Burtle 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
Sally A Burtle, MD
901 Nevin Ave,
Richmond, CA 94801-3143

Ph: (510) 307-2372		Sally A Burtle, MD
901 Nevin Ave,
Richmond, CA 94801-3143

Ph: (510) 307-2372

Reviews and Comments


Dermatology Doctors in Richmond, CA

Cara E Moretti, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 901 Nevin Ave, Richmond, CA 94801
Phone: 510-307-2373    
Jody A. Cornelius, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 901 Nevin Ave, Richmond, CA 94801
Phone: 510-307-1500    

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.