Dr Damien Johann Burgess, DC, APRN, NP-C is a medicare enrolled "Nurse Practitioner" provider in Newport Beach, California. His current practice location is
20072 Sw Birch St Ste 100, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at
(949) 757-1150.
Dr Damien Johann Burgess is licensed to practice in California (license number 95014074) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699917138.
Healthcare Provider's Profile
| Full Name | Dr Damien Johann Burgess |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 20072 Sw Birch St Ste 100, Newport Beach, California |
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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: 1699917138
- Provider Enumeration Date: 03/30/2009
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173750791
- Enrollment ID: I20200709003473
Medical Identifiers
Medical identifiers for Dr Damien Johann Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699917138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NR0400X | Chiropractor - Rehabilitation | 31139 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 826830 (Nevada) | Secondary |
| 363L00000X | Nurse Practitioner | 95014074 (California) | 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. Dr Damien Johann Burgess allows following entities to bill medicare on his behalf.
| Provider Name | Optimum Medical Clinics Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649354366
PECOS PAC ID: 4880622158
Enrollment ID: O20050728000242 |
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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 Damien Johann Burgess 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 Damien Johann Burgess, DC, APRN, NP-C
20072 Sw Birch St Ste 100,
Newport Beach, CA 92660-0794
Ph: (949) 757-1150 | Dr Damien Johann Burgess, DC, APRN, NP-C
20072 Sw Birch St Ste 100,
Newport Beach, CA 92660-0794
Ph: (949) 757-1150 |
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