Audra Jo Burdulis, PA-C - Medicare Physician Assistant in Renton, WA

Audra Jo Burdulis, PA-C is a medicare enrolled "Physician Assistant - Medical" in Renton, Washington. Her current practice location is 3600 Lind Ave Sw Ste 170, Renton, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 690-3555.

Audra Jo Burdulis is licensed to practice in Washington (license number PA10004625) 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 1124075205.

Contact Information

Audra Jo Burdulis, PA-C
3600 Lind Ave Sw Ste 170,
Renton, WA 98057-4934
(425) 690-3555
(425) 690-9555

Map and Direction




Provider's Profile

Full NameAudra Jo Burdulis
GenderFemale
SpecialityPhysician Assistant - Medical
Location3600 Lind Ave Sw Ste 170, Renton, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124075205
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 08/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5294739926
  • Enrollment ID: I20060911000544

Medical Identifiers

Medical identifiers for Audra Jo Burdulis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124075205NPI-NPPES
2009751MedicaidWA
G8891360OtherWAMEDICARE W VALLEY MEDICAL GROUP - RENTON

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA10004625 (Washington)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. Audra Jo Burdulis 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
Audra Jo Burdulis, PA-C
3600 Lind Ave Sw, Ste 100 Attn Credentialing,
Renton, WA 98057-4970

Ph: (425) 690-2715
Audra Jo Burdulis, PA-C
3600 Lind Ave Sw Ste 170,
Renton, WA 98057-4934

Ph: (425) 690-3555

Reviews and Comments


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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.