Theresa (terry) Burke, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. Her current practice location is
2440 Willamette St Ste 201, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 321-2278.
Theresa (terry) Burke is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285173831.
Healthcare Provider's Profile
| Full Name | Theresa (terry) Burke |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2440 Willamette St Ste 201, Eugene, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1285173831
- Provider Enumeration Date: 02/15/2017
- Last Update Date: 08/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 0244689248
- Enrollment ID: I20231215003260
Medical Identifiers
Medical identifiers for Theresa (terry) Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285173831 | NPI | - | NPPES |
| 500724669 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 7069 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Theresa (terry) Burke allows following entities to bill medicare on her behalf.
| Entity Name | Arise Counseling Service Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1447715834
PECOS PAC ID: 5496104473
Enrollment ID: O20231215002492 |
|---|
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. Theresa (terry) Burke 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 |
|---|
Theresa (terry) Burke, MSW, LCSW
2440 Willamette St Ste 201,
Eugene, OR 97405-3170
Ph: (541) 321-2278 | Theresa (terry) Burke, MSW, LCSW
2440 Willamette St Ste 201,
Eugene, OR 97405-3170
Ph: (541) 321-2278 |
Reviews and Comments