Michael Lyle Burlison, is a
Social Worker based in El Sobrante, California. Michael Lyle Burlison is licensed to practice in California (license number 81473) and his current practice location is
4892 San Pablo Dam Rd, El Sobrante, California. He can be reached at his office (for appointments etc.) via phone at
(510) 223-4236.
NPI number for Michael Lyle Burlison is 1629644828 and his current mailing address is 4892 San Pablo Dam Rd, El Sobrante, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629644828.
Healthcare Provider's Profile
Full Name | Michael Lyle Burlison |
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Gender | Male |
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Speciality | Social Worker |
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Location | 4892 San Pablo Dam Rd, El Sobrante, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629644828
- Provider Enumeration Date: 05/28/2021
- Last Update Date: 10/24/2023
Medical Identifiers
Medical identifiers for Michael Lyle Burlison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629644828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
104100000X | Social Worker | 81473 (California) | 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. Michael Lyle Burlison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Lyle Burlison, 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 Ph: () - | Michael Lyle Burlison, 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 Ph: (510) 223-4236 |
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