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. |
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: I20230614002872
Medical Identifiers
Medical identifiers for Antonia G Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104130186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 |
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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