Nancy Grace Burlak, EDD, LMFT in Louisville, CO - Medicare Marriage & Family Therapist Provider

Nancy Grace Burlak, EDD, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Louisville, Colorado. Her current practice location is 2255 S 88th St, Louisville, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 673-9990.

Nancy Grace Burlak is licensed to practice in Colorado (license number .0001519) 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 1609421130.

Contact Information

	Nancy Grace Burlak, EDD, LMFT
	2255 S 88th St, Louisville, CO 80027-9716
	(303) 673-9990
	(303) 673-9703

Map and Direction

Healthcare Provider's Profile

Full Name	Nancy Grace Burlak
Gender	Female
Speciality	Marriage & Family Therapist
Location	2255 S 88th St, Louisville, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609421130
Provider Enumeration Date: 08/01/2019
Last Update Date: 08/01/2019

Medicare PECOS Information:

PECOS PAC ID: 8527419712
Enrollment ID: I20240112000355

Medical Identifiers

Medical identifiers for Nancy Grace Burlak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609421130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC44507 (California)	Secondary
106H00000X	Marriage & Family Therapist	.0001519 (Colorado)	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. Nancy Grace Burlak allows following entities to bill medicare on her behalf.

Entity Name	Poudre Valley Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760492714 PECOS PAC ID: 7618880709 Enrollment ID: O20031105000791

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. Nancy Grace Burlak 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
Nancy Grace Burlak, EDD, LMFT 2255 S 88th St, Louisville, CO 80027-9728 Ph: (303) 673-9990	Nancy Grace Burlak, EDD, LMFT 2255 S 88th St, Louisville, CO 80027-9716 Ph: (303) 673-9990

Reviews and Comments

Marriage & Family Therapist in Louisville, CO

Andres Johannes Reinhard, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 225 W South Boulder Rd Ste 103, Louisville, CO 80027 Phone: 720-868-9641
Julie W Smith, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 801 Main St Ste 30, Louisville, CO 80027 Phone: 720-340-1155
Rachelle Paige Davis, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 924 Main St, Louisville, CO 80027 Phone: 310-880-9639
Mr. Larry Cappel, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 726 Mead St, Louisville, CO 80027 Phone: 303-523-6123
Emily Kaptein, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1017 E South Boulder Rd Ste G, Louisville, CO 80027 Phone: 720-749-5350
Dr. Jill Manning, PH.D., LMFT, CCPS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 357 Mccaslin Blvd Ste 203, Louisville, CO 80027 Phone: 720-209-9510 Fax: 720-874-9644

Nancy Grace Burlak, EDD, LMFT - Medicare Couples Therapy in Louisville, CO