Carrie Dorothy Burg, MS, LAT is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Delavan, Wisconsin. Carrie Dorothy Burg is licensed to practice in Wisconsin (license number 1641-39) and her current practice location is 1550 Hobbs Dr, Delavan, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 740-4370.
NPI number for Carrie Dorothy Burg is 1376170589 and her current mailing address is 1550 Hobbs Dr, Delavan, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376170589.
Physician's Profile
Full Name | Carrie Dorothy Burg |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 1550 Hobbs Dr, Delavan, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376170589
- Provider Enumeration Date: 03/26/2020
- Last Update Date: 03/26/2020
Medical Identifiers
Medical identifiers for Carrie Dorothy Burg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376170589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 1641-39 (Wisconsin) | Primary |
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. Carrie Dorothy Burg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carrie Dorothy Burg, MS, LAT 1550 Hobbs Dr, Delavan, WI 53115-2027 Ph: (262) 740-4370 | Carrie Dorothy Burg, MS, LAT 1550 Hobbs Dr, Delavan, WI 53115-2027 Ph: (262) 740-4370 |
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