Mr Kelsey Burnham, PMHNP - Medicare Nurse Practitioner in Malone, NY

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Mr Kelsey Burnham, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Malone, New York. His current practice location is 31 6th St, Malone, New York. You can reach out to his office (for appointments etc.) via phone at (518) 483-3261.

Mr Kelsey Burnham is licensed to practice in New York (license number 407495) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578993887.

Contact Information

Mr Kelsey Burnham, PMHNP
31 6th St,
Malone, NY 12953-1246
(518) 483-3261
(518) 483-3383

Map and Direction




Provider's Profile

Full NameMr Kelsey Burnham
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location31 6th St, Malone, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578993887
  • Provider Enumeration Date: 11/22/2013
  • Last Update Date: 10/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8527590868
  • Enrollment ID: I20241011002117

Medical Identifiers

Medical identifiers for Mr Kelsey Burnham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578993887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 630823 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10022754 (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 407495 (New York)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. Mr Kelsey Burnham allows following entities to bill medicare on his behalf.
Entity NameLarsen Sanchez Psychology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588041388
PECOS PAC ID: 6608138383
Enrollment ID: O20180315002490

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. Mr Kelsey Burnham 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
Mr Kelsey Burnham, PMHNP
324 County Route 51 Bldg 1,
Malone, NY 12953-4502

Ph: (518) 483-1251		Mr Kelsey Burnham, PMHNP
31 6th St,
Malone, NY 12953-1246

Ph: (518) 483-3261

Reviews and Comments


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Lindsay Mills Holland, APRN
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Emily Brooke Russell,
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Ms. Jessica Marie Robinson, FNP
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Practice Location: 133 Park St, Malone, NY 12953
Phone: 518-483-3000    
Sarah Nargess Kazerani, NP-BC
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Practice Location: 133 Park St, Malone, NY 12953
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Adelanke Chris-rotimi, NP
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Practice Location: 5 Clay St, Malone, NY 12953
Phone: 518-483-0705    
Eleanor Jane Laclair, ANP
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Medicare: Accepting Medicare Assignments
Practice Location: 133 Park St, Malone, NY 12953
Phone: 518-483-3000    

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.