Mr David Lee Burgess, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. His current practice location is
2920 Forestville Rd, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 319-1827.
Mr David Lee Burgess is licensed to practice in North Carolina (license number C016489) 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 1891361507.
Healthcare Provider's Profile
Full Name | Mr David Lee Burgess |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2920 Forestville Rd, Raleigh, North Carolina |
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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: 1891361507
- Provider Enumeration Date: 06/02/2021
- Last Update Date: 06/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537517370
- Enrollment ID: I20231204003692
Medical Identifiers
Medical identifiers for Mr David Lee Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891361507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | C016489 (North Carolina) | 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. Mr David Lee Burgess allows following entities to bill medicare on his behalf.
Entity Name | Centerstone Of Tennessee, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609482439 PECOS PAC ID: 9739088113 Enrollment ID: O20210219001917 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
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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. Mr David Lee 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 |
Mr David Lee Burgess, LCSW 2920 Forestville Rd Ste 100 Pmb4001, Raleigh, NC 27616 Ph: (910) 319-1827 | Mr David Lee Burgess, LCSW 2920 Forestville Rd, Raleigh, NC 27616-8774 Ph: (910) 319-1827 |
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