Mrs Gwendolyn Denise Burnside, FNP-C in Philadelphia, MS

Mrs Gwendolyn Denise Burnside, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Mississippi. Her current practice location is 11841 Road 832, Philadelphia, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 416-4488.

Mrs Gwendolyn Denise Burnside is licensed to practice in Mississippi (license number 906156) 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 1548941669.

Contact Information

	Mrs Gwendolyn Denise Burnside, FNP-C
	11841 Road 832, Philadelphia, MS 39350-6837
	(601) 416-4488
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Gwendolyn Denise Burnside
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11841 Road 832, Philadelphia, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548941669
Provider Enumeration Date: 07/31/2023
Last Update Date: 04/08/2025

Medicare PECOS Information:

PECOS PAC ID: 5193172518
Enrollment ID: I20231107001892

Medical Identifiers

Medical identifiers for Mrs Gwendolyn Denise Burnside such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548941669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	906156 (Mississippi)	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. Mrs Gwendolyn Denise Burnside allows following entities to bill medicare on her behalf.

Entity Name	Greater Meridian Health Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962509208 PECOS PAC ID: 9032027834 Enrollment ID: O20040217000471

Entity Name	G A Carmichael Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801952809 PECOS PAC ID: 2567371032 Enrollment ID: O20050816001055

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Mrs Gwendolyn Denise Burnside 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
Mrs Gwendolyn Denise Burnside, FNP-C 11841 Road 832, Philadelphia, MS 39350-6837 Ph: (601) 416-4488	Mrs Gwendolyn Denise Burnside, FNP-C 11841 Road 832, Philadelphia, MS 39350-6837 Ph: (601) 416-4488

Reviews and Comments

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Mrs Gwendolyn Denise Burnside, FNP-C - Medicare Nurse Practitioner in Philadelphia, MS