Dr Andrew Charles Burg, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Lake Forest, California. His current practice location is
20505 Crescent Bay Dr, Lake Forest, California. You can reach out to his office (for appointments etc.) via phone at
(714) 726-9565.
Dr Andrew Charles Burg is licensed to practice in California (license number A43765) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366523805.
Physician's Profile
Full Name | Dr Andrew Charles Burg |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 20505 Crescent Bay Dr, Lake Forest, California |
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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: 1366523805
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729984588
- Enrollment ID: I20031211000447
Medical Identifiers
Medical identifiers for Dr Andrew Charles Burg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366523805 | NPI | - | NPPES |
00A437650 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A43765 (California) | 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. Dr Andrew Charles Burg allows following entities to bill medicare on his behalf.
Entity Name | Urology Center Of So Calif Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750604948 PECOS PAC ID: 6406745439 Enrollment ID: O20040315001245 |
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Entity Name | Greater Long Beach Genito-urinary Med Grp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417976705 PECOS PAC ID: 0143258723 Enrollment ID: O20050803001227 |
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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. Dr Andrew Charles Burg 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 |
Dr Andrew Charles Burg, MD 20505 Crescent Bay Dr, Lake Forest, CA 92630-8825 Ph: (714) 726-9565 | Dr Andrew Charles Burg, MD 20505 Crescent Bay Dr, Lake Forest, CA 92630-8825 Ph: (714) 726-9565 |
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