Dr Enid F Burnett, MD | |
87 Murray Guard Dr Ste B, Jackson, TN 38305-3775 | |
(731) 422-0213 | |
(731) 660-8319 |
Full Name | Dr Enid F Burnett |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 87 Murray Guard Dr Ste B, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750368932 | NPI | - | NPPES |
002497300 | Medicaid | FL | |
593536402 0011 | Other | FL | CIGNA |
070013233 | Other | FL | RAILROAD MEDICARE |
2299671 | Other | FL | GHI |
41326 | Other | FL | BLUE CROSS BLUE SHIELD |
4404822 | Other | FL | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | ME0072841 (Florida) | Primary |
Entity Name | Mid-florida Dermatology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619018561 PECOS PAC ID: 1254233786 Enrollment ID: O20051018000717 |
Mailing Address | Practice Location Address |
---|---|
Dr Enid F Burnett, MD Po Box 400, Jackson, TN 38302-0400 Ph: (731) 422-0213 | Dr Enid F Burnett, MD 87 Murray Guard Dr Ste B, Jackson, TN 38305-3775 Ph: (731) 422-0213 |
Dr. Sterling Ruffin Craig, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2817 North Highland Avenue, Suite A, Jackson, TN 38305 Phone: 731-661-0061 Fax: 731-661-9107 | |
Dr. Robert M Jones, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1320 Union University Dr, Jackson, TN 38305 Phone: 731-422-7999 Fax: 731-422-4937 | |
Dr. Elizabeth Lee Hall, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 87 Murray Guard Dr, Ste B, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8319 | |
Holly Clowers, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 87b Murray Guard Dr, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-660-8319 | |
Dr. William P Teer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1320 Union University Dr, Jackson, TN 38305 Phone: 731-422-7999 Fax: 731-422-4937 | |
Virginia Anne Koubek, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 87 Murray Guard Dr Ste B, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-660-8319 |