Lance R Burrell, APRN is a medicare enrolled "Nurse Practitioner - Family" in San Fidel, New Mexico. He graduated from nursing school in 1996 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice La Paz Regional Hospital Inc and his current practice location is
Exit 102 11/2 Mi. South I-40, Acoma-canoncito-laguna Indian, San Fidel, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 552-5300.
Lance R Burrell is licensed to practice in Arizona (license number AP4694) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730146754.
Provider's Profile
| Full Name | Lance R Burrell |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 30 Years |
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| Location | Exit 102 11/2 Mi. South I-40, San Fidel, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lance R Burrell graduated from nursing school in 1996
NPI Data:
- NPI Number: 1730146754
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 09/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 1355386426
- Enrollment ID: I20130111000259
Medical Identifiers
Medical identifiers for Lance R Burrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730146754 | NPI | - | NPPES |
| H3451 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 5653727-4405 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP4694 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| La Paz Regional Hospital Inc | 1557273356 | 47 |
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. Lance R Burrell allows following entities to bill medicare on his behalf.
| Entity Name | La Paz Regional Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053684555
PECOS PAC ID: 1557273356
Enrollment ID: O20031219000694 |
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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. Lance R 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 |
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Lance R Burrell, APRN
Po Box 130,
San Fidel, NM 87049-0130
Ph: (505) 552-5300 | Lance R Burrell, APRN
Exit 102 11/2 Mi. South I-40, Acoma-canoncito-laguna Indian,
San Fidel, NM 87049-0130
Ph: (505) 552-5300 |
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