Dr Joseph W Burris Jr, MD, MPH is a medicare enrolled "Emergency Medicine" physician in Koloa, Hawaii. His current practice location is
2585 Waho St, Koloa, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 346-3324.
Dr Joseph W Burris Jr is licensed to practice in Hawaii (license number 14727) 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 1053424887.
Physician's Profile
| Full Name | Dr Joseph W Burris Jr |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 2585 Waho St, Koloa, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053424887
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 08/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 4284737925
- Enrollment ID: I20080712000164
Medical Identifiers
Medical identifiers for Dr Joseph W Burris Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053424887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | A94008 (California) | Secondary |
| 207P00000X | Emergency Medicine | 14727 (Hawaii) | 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 Joseph W Burris Jr allows following entities to bill medicare on his behalf.
| Entity Name | Kauai Medical Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376596643
PECOS PAC ID: 5092628479
Enrollment ID: O20031111000540 |
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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 Joseph W Burris Jr 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 |
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Dr Joseph W Burris Jr, MD, MPH
2585 Waho St,
Koloa, HI 96756-9550
Ph: (808) 346-3324 | Dr Joseph W Burris Jr, MD, MPH
2585 Waho St,
Koloa, HI 96756-9550
Ph: (808) 346-3324 |
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