Mr Raleigh L Burch Jr, in Churchton, MD - Medicare Counselor Provider

Mr Raleigh L Burch Jr, is a medicare enrolled "Counselor - Professional" provider in Churchton, Maryland. His current practice location is 5419 Deale Churchton Rd, Suite 102, Churchton, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 607-6207.

Mr Raleigh L Burch Jr is licensed to practice in Maryland (license number LCA034) 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 1972878650.

Contact Information

	Mr Raleigh L Burch Jr,
	5419 Deale Churchton Rd, Suite 102, Churchton, MD 20733-2404
	(443) 607-6207
	(443) 607-6208

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Raleigh L Burch Jr
Gender	Male
Speciality	Counselor - Professional
Location	5419 Deale Churchton Rd, Churchton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972878650
Provider Enumeration Date: 03/14/2012
Last Update Date: 03/14/2012

Medicare PECOS Information:

PECOS PAC ID: 0941633929
Enrollment ID: I20240123001365

Medical Identifiers

Medical identifiers for Mr Raleigh L Burch Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972878650	NPI	-	NPPES
415894600	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LCA034 (Maryland)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	LCA034 (Maryland)	Secondary
101YP2500X	Counselor - Professional	LCA034 (Maryland)	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 Raleigh L Burch Jr allows following entities to bill medicare on his behalf.

Entity Name	Washington Hospital Center Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407870124 PECOS PAC ID: 3577476266 Enrollment ID: O20040630000173

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415

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 Raleigh L Burch Jr 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 Raleigh L Burch Jr, 5419 Deale Churchton Rd, Suite 102, Churchton, MD 20733-2404 Ph: (443) 607-6207	Mr Raleigh L Burch Jr, 5419 Deale Churchton Rd, Suite 102, Churchton, MD 20733-2404 Ph: (443) 607-6207

Reviews and Comments

Counselor in Churchton, MD

Lindsey O'donnell, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5419 Deale Churchton Rd Ste 104, Churchton, MD 20733 Phone: 410-541-6686
Ashley Oursler, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5419 Deale Churchton Rd Ste 104, Churchton, MD 20733 Phone: 410-541-6686
Christina Johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5532 Dartmouth St, Churchton, MD 20733 Phone: 410-980-4171
Lizatte Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1228 Garret Ave, Churchton, MD 20733 Phone: 667-200-6006
Dominique Forsman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5419 Deale Churchton Rd Ste 104, Churchton, MD 20733 Phone: 410-541-6686

Mr Raleigh L Burch Jr, - Medicare Counselor in Churchton, MD