Tiffany Dawn Burke, ARNP, FNP is a medicare enrolled "Family Medicine" in Durant, Oklahoma. Her current practice location is
1312 N 1st Ave, Durant, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 920-2069.
Tiffany Dawn Burke is licensed to practice in Oklahoma (license number R0084153) 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 1417036104.
Provider's Profile
| Full Name | Tiffany Dawn Burke |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1312 N 1st Ave, Durant, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417036104
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 04/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 5698872380
- Enrollment ID: I20070514000510
Medical Identifiers
Medical identifiers for Tiffany Dawn Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417036104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP115719 (Texas) | Secondary |
| 207Q00000X | Family Medicine | R0084153 (Oklahoma) | 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. Tiffany Dawn Burke allows following entities to bill medicare on her behalf.
| Entity Name | Center For Psychological Development Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831409440
PECOS PAC ID: 5395929384
Enrollment ID: O20110415000717 |
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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. Tiffany Dawn Burke 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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Tiffany Dawn Burke, ARNP, FNP
1312 N 1st Ave,
Durant, OK 74701-2810
Ph: (580) 920-2069 | Tiffany Dawn Burke, ARNP, FNP
1312 N 1st Ave,
Durant, OK 74701-2810
Ph: (580) 920-2069 |
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