Kristen Jean Burns, FNP-C is a medicare enrolled "Nurse Practitioner" in Lake Wylie, South Carolina. Her current practice location is
1200 Village Harbor Dr, Lake Wylie, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 631-2858.
Kristen Jean Burns is licensed to practice in South Carolina (license number 109057) 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 1164504429.
Provider's Profile
Full Name | Kristen Jean Burns |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner |
---|
Location | 1200 Village Harbor Dr, Lake Wylie, South Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164504429
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 06/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 9931208345
- Enrollment ID: I20070626000694
Medical Identifiers
Medical identifiers for Kristen Jean Burns such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164504429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0050-02299 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 109057 (South Carolina) | 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. Kristen Jean Burns allows following entities to bill medicare on her behalf.
Entity Name | Minuteclinic Diagnostic Of North Carolina Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1699748608 PECOS PAC ID: 6002837572 Enrollment ID: O20051212000719 |
---|
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. Kristen Jean Burns 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 |
Kristen Jean Burns, FNP-C 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 Ph: (803) 631-2858 | Kristen Jean Burns, FNP-C 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 Ph: (803) 631-2858 |
Reviews and Comments