Dorothy Chadika Burrell, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rainier, Oregon. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mindful Therapy Group Pc and her current practice location is
28168 Old Rainier Rd, Rainier, Oregon. You can reach out to her office (for appointments etc.) via phone at
(800) 244-4870.
Dorothy Chadika Burrell is licensed to practice in Washington (license number AP61486147) 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 1558834986.
Provider's Profile
| Full Name | Dorothy Chadika Burrell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 28168 Old Rainier Rd, Rainier, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dorothy Chadika Burrell graduated from nursing school in 2018
NPI Data:
- NPI Number: 1558834986
- Provider Enumeration Date: 01/08/2019
- Last Update Date: 08/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345678975
- Enrollment ID: I20240530002159
Medical Identifiers
Medical identifiers for Dorothy Chadika Burrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558834986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | RN248381 (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61486147 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mindful Therapy Group Pc | 4981872561 | 440 |
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. Dorothy Chadika Burrell allows following entities to bill medicare on her behalf.
| Entity Name | Mindful Therapy Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
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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. Dorothy Chadika Burrell 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 |
Dorothy Chadika Burrell, 253 25th Ave, Longview, WA 98632-1215 Ph: (678) 760-6321 | Dorothy Chadika Burrell, 28168 Old Rainier Rd, Rainier, OR 97048-3017 Ph: (800) 244-4870 |
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