Antonia G Burke, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Detroit, Michigan. Her current practice location is
22101 Moross Rd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 343-3400.
Antonia G Burke is licensed to practice in * (Not Available) (license number ) 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 1104130186.
Healthcare Provider's Profile
| Full Name | Antonia G Burke |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 22101 Moross Rd, Detroit, Michigan |
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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: 1104130186
- Provider Enumeration Date: 08/02/2010
- Last Update Date: 05/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931567500
- Enrollment ID: I20241002003245
Medical Identifiers
Medical identifiers for Antonia G Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104130186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Antonia G Burke allows following entities to bill medicare on her behalf.
| Provider Name | Tmi East Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336709252
PECOS PAC ID: 3274864665
Enrollment ID: O20200420003011 |
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| Provider Name | Woodhaven Of Livonia |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316996226
PECOS PAC ID: 0840327680
Enrollment ID: O20230602001839 |
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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. Antonia G 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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Antonia G Burke, MD
22101 Moross Rd,
Detroit, MI 48236-2148
Ph: (313) 343-3400 | Antonia G Burke, MD
22101 Moross Rd,
Detroit, MI 48236-2148
Ph: (313) 343-3400 |
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