Sara Burcham, PA-C is a medicare enrolled "Physician Assistant - Medical" in Aztec, New Mexico. Her current practice location is
604 S Rio Grande Ave, Aztec, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 334-2664.
Sara Burcham is licensed to practice in New Mexico (license number PA2018-0040) 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 1700106218.
Provider's Profile
| Full Name | Sara Burcham |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 604 S Rio Grande Ave, Aztec, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700106218
- Provider Enumeration Date: 06/07/2010
- Last Update Date: 06/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850690322
- Enrollment ID: I20181231001904
Medical Identifiers
Medical identifiers for Sara Burcham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700106218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | PA06228 (Texas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA.0005385 (Colorado) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA2018-0040 (New Mexico) | 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. Sara Burcham allows following entities to bill medicare on her behalf.
| Entity Name | Durango Infusion Center, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548840192 PECOS PAC ID: 9133507650 Enrollment ID: O20220610002534 |
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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. Sara Burcham 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 |
Sara Burcham, PA-C 2577 Main Ave, Durango, CO 81301-5919 Ph: (970) 247-8382 | Sara Burcham, PA-C 604 S Rio Grande Ave, Aztec, NM 87410-2260 Ph: (505) 334-2664 |
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