Clarissa Diann Burns, NP is a medicare enrolled "Nurse Practitioner" physician in Mcdonough, Georgia. Her current practice location is
80 Vinings Dr, Mcdonough, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 302-6780.
Clarissa Diann Burns is licensed to practice in Georgia (license number RN207030) 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 1568092518.
Physician's Profile
Full Name | Clarissa Diann Burns |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 80 Vinings Dr, Mcdonough, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568092518
- Provider Enumeration Date: 01/17/2020
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991180036
- Enrollment ID: I20220909002947
Medical Identifiers
Medical identifiers for Clarissa Diann Burns such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568092518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RN207030 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN207030 (Georgia) | 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. Clarissa Diann Burns allows following entities to bill medicare on her behalf.
Entity Name | Southside Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357 |
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Entity Name | Mc Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356907695 PECOS PAC ID: 4183955974 Enrollment ID: O20191009000622 |
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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. Clarissa Diann Burns 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 |
Clarissa Diann Burns, NP 245 Juliet Dr, Hampton, GA 30228-4834 Ph: () - | Clarissa Diann Burns, NP 80 Vinings Dr, Mcdonough, GA 30253-5994 Ph: (770) 302-6780 |
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