Dr Jeremiah W Burkhart, PSYD is a medicare enrolled "Psychologist - Counseling" provider in Ferrum, Virginia. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Family Care Center Llc and his current practice location is
180 Ferrum Mountain Rd, Ferrum, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 365-4469.
Dr Jeremiah W Burkhart is licensed to practice in Virginia (license number 0810006349) 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 1104112986.
Healthcare Provider's Profile
| Full Name | Dr Jeremiah W Burkhart |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 180 Ferrum Mountain Rd, Ferrum, Virginia |
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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:
- Dr Jeremiah W Burkhart graduated from medical school in 2019
NPI Data:
- NPI Number: 1104112986
- Provider Enumeration Date: 06/21/2011
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537594981
- Enrollment ID: I20250417002212
Medical Identifiers
Medical identifiers for Dr Jeremiah W Burkhart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104112986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC1900X | Psychologist - Counseling | 0810006349 (Virginia) | Primary |
| 103TC0700X | Psychologist - Clinical | 0810006349 (Virginia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Family Care Center Llc | 5991064420 | 670 |
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. Dr Jeremiah W Burkhart allows following entities to bill medicare on his behalf.
| Entity Name | Family Care Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124756085
PECOS PAC ID: 5991064420
Enrollment ID: O20230501001893 |
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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. Dr Jeremiah W Burkhart 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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Dr Jeremiah W Burkhart, PSYD
Po Box 9,
Laurel Fork, VA 24352-0009
Ph: (276) 398-1214 | Dr Jeremiah W Burkhart, PSYD
180 Ferrum Mountain Rd,
Ferrum, VA 24088-2939
Ph: (540) 365-4469 |
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