Richard Wayne Burris, PA-C is a medicare enrolled "Physician Assistant" in Grantsburg, Wisconsin. He graduated from nursing school in 1984 and has 42 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Suburban Emergency Associates Pa and his current practice location is
257 W Saint George Ave, Grantsburg, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 463-5353.
Richard Wayne Burris is licensed to practice in Wisconsin (license number 4333-23) 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 1790745446.
Provider's Profile
| Full Name | Richard Wayne Burris |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 42 Years |
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| Location | 257 W Saint George Ave, Grantsburg, Wisconsin |
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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:
- Richard Wayne Burris graduated from nursing school in 1984
NPI Data:
- NPI Number: 1790745446
- Provider Enumeration Date: 03/26/2006
- Last Update Date: 06/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 8426138363
- Enrollment ID: I20080104000540
Medical Identifiers
Medical identifiers for Richard Wayne Burris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790745446 | NPI | - | NPPES |
| 449390700 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 4333-23 (Wisconsin) | Primary |
| 363A00000X | Physician Assistant | 9113 (Minnesota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Suburban Emergency Associates Pa | 8325950975 | 20 |
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. Richard Wayne Burris allows following entities to bill medicare on his behalf.
| Entity Name | Suburban Emergency Associates PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134173628
PECOS PAC ID: 8325950975
Enrollment ID: O20031103000223 |
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| Entity Name | Park Nicollet Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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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. Richard Wayne Burris 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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Richard Wayne Burris, PA-C
257 W Saint George Ave,
Grantsburg, WI 54840-7827
Ph: (715) 463-5353 | Richard Wayne Burris, PA-C
257 W Saint George Ave,
Grantsburg, WI 54840
Ph: (715) 463-5353 |
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