Patrick Russell Burnside, MD is a medicare enrolled "Emergency Medicine" in Charlotte, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 2007 and has 19 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Fayette Physician Network Inc and his current practice location is
2001 Vail Avenue, Carolinas Medical Center-mercy Dept Em, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 304-5000.
Patrick Russell Burnside is licensed to practice in North Carolina (license number 102833) 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 1992880884.
Provider's Profile
| Full Name | Patrick Russell Burnside |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 19 Years |
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| Location | 2001 Vail Avenue, Charlotte, North Carolina |
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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:
- Patrick Russell Burnside attended and graduated from Brody School Of Medicine At East Carolina University in 2007
NPI Data:
- NPI Number: 1992880884
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 03/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 0446343339
- Enrollment ID: I20191030000740
Medical Identifiers
Medical identifiers for Patrick Russell Burnside such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992880884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 102833 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 102833 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fayette Physician Network Inc | 3375865819 | 309 |
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. Patrick Russell Burnside allows following entities to bill medicare on his behalf.
| Entity Name | Fayette Physician Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992107817
PECOS PAC ID: 3375865819
Enrollment ID: O20141211000851 |
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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. Patrick Russell 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 |
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Patrick Russell Burnside, MD
2429 Vail Ave Apt B13,
Charlotte, NC 28207-1940
Ph: Not Available | Patrick Russell Burnside, MD
2001 Vail Avenue, Carolinas Medical Center-mercy Dept Em,
Charlotte, NC 28207
Ph: (704) 304-5000 |
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