Mr Marc Burks, PA-C is a
Physician Assistant based in Matteson, Illinois. Mr Marc Burks is licensed to practice in Illinois (license number 085.004327) and his current practice location is
4747 Lincoln Mall Dr Ste 304, Matteson, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 898-2608.
NPI number for Mr Marc Burks is 1336491992 and his current mailing address is 1665 W 104th St, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336491992.
Provider's Profile
| Full Name | Mr Marc Burks |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 4747 Lincoln Mall Dr Ste 304, Matteson, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336491992
- Provider Enumeration Date: 10/08/2012
- Last Update Date: 10/08/2012
Medical Identifiers
Medical identifiers for Mr Marc Burks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336491992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 085.004327 (Illinois) | 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. Mr Marc Burks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Marc Burks, PA-C
1665 W 104th St,
Chicago, IL 60643-2822
Ph: (773) 238-4430 | Mr Marc Burks, PA-C
4747 Lincoln Mall Dr Ste 304,
Matteson, IL 60443-3814
Ph: (708) 898-2608 |
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