Michael Keith Burnside, LPC, LADC in Okmulgee, OK

Michael Keith Burnside, LPC, LADC is a medicare enrolled "Counselor - Professional" provider in Okmulgee, Oklahoma. His current practice location is 100 W 7th St Ste 102, Okmulgee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 758-1910.

Michael Keith Burnside is licensed to practice in Oklahoma (license number 2650) 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 1194739334.

Contact Information

	Michael Keith Burnside, LPC, LADC
	100 W 7th St Ste 102, Okmulgee, OK 74447-5007
	(918) 758-1910
	(918) 756-1270

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Keith Burnside
Gender	Male
Speciality	Counselor - Professional
Location	100 W 7th St Ste 102, Okmulgee, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194739334
Provider Enumeration Date: 07/27/2006
Last Update Date: 03/13/2009

Medicare PECOS Information:

PECOS PAC ID: 1254784978
Enrollment ID: I20240130001570

Medical Identifiers

Medical identifiers for Michael Keith Burnside such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194739334	NPI	-	NPPES
300522336	Other	OK	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	553 (Oklahoma)	Secondary
101YP2500X	Counselor - Professional	2650 (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. Michael Keith Burnside allows following entities to bill medicare on his behalf.

Entity Name	East Central Oklahoma Family Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316196546 PECOS PAC ID: 3779643994 Enrollment ID: O20090330000363

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. Michael Keith Burnside 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
Michael Keith Burnside, LPC, LADC 720 S 5th St, Morris, OK 74445-2224 Ph: (918) 733-4603	Michael Keith Burnside, LPC, LADC 100 W 7th St Ste 102, Okmulgee, OK 74447-5007 Ph: (918) 758-1910

Reviews and Comments

Counselor in Okmulgee, OK

Leslie Lynn Crow, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 W 7th St, Suite 102, Okmulgee, OK 74447 Phone: 918-758-1910 Fax: 918-756-1270
Frank Wayne Mayhew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1805 S Wood Dr, Okmulgee, OK 74447 Phone: 918-756-9250
Miss Gay Lynn Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W 6th St, Okmulgee, OK 74447 Phone: 918-756-9250
Mrs. Thomasine L. Fife, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 W 7th St Ste 102, Okmulgee, OK 74447 Phone: 918-758-1930
Hilary Megan Snyder, MASTER OF ARTS IN CH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1950 N Okmulgee, Okmulgee, OK 74447 Phone: 918-756-7700 Fax: 918-756-3347
Ladonna Kay Shadlow, CBHCM, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 N Grand Ave Ste 418, Okmulgee, OK 74447 Phone: 918-227-2016
Courtney Josie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 S Okmulgee Ave, Okmulgee, OK 74447 Phone: 918-752-8417

Michael Keith Burnside, LPC, LADC - Medicare Counselor in Okmulgee, OK