Haley Burson, in Louisville, KY - Medicare Dentist Provider

Haley Burson, is a medicare enrolled "Dentist - General Practice" provider in Louisville, Kentucky. Her current practice location is 4501 Louise Underwood Way, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 368-2348.

Haley Burson is licensed to practice in Kentucky (license number 9659) 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 1265808349.

Contact Information

	Haley Burson,
	4501 Louise Underwood Way, Louisville, KY 40216-3987
	(502) 368-2348
	(502) 371-9067

Map and Direction

Healthcare Provider's Profile

Full Name	Haley Burson
Gender	Female
Speciality	Dentist - General Practice
Location	4501 Louise Underwood Way, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265808349
Provider Enumeration Date: 08/12/2015
Last Update Date: 08/12/2015

Medicare PECOS Information:

PECOS PAC ID: 8224345152
Enrollment ID: I20160924000101

Medical Identifiers

Medical identifiers for Haley Burson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265808349	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	9659 (Kentucky)	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. Haley Burson allows following entities to bill medicare on her behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Haley Burson 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
Haley Burson, 4501 Louise Underwood Way, Louisville, KY 40216-3987 Ph: (502) 368-2348	Haley Burson, 4501 Louise Underwood Way, Louisville, KY 40216-3987 Ph: (502) 368-2348

Reviews and Comments

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Haley Burson, - Medicare Dentist in Louisville, KY