Dr Kenneth David Burgess, M D in Gastonia, NC

Dr Kenneth David Burgess, M D is a medicare enrolled "Family Medicine" physician in Gastonia, North Carolina. His current practice location is 3845 South New Hope Road, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 824-9119.

Dr Kenneth David Burgess is licensed to practice in North Carolina (license number 32655) 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 1538147376.

Contact Information

	Dr Kenneth David Burgess, M D
	3845 South New Hope Road, Gastonia, NC 28056
	(704) 824-9119
	(704) 824-2401

Map and Direction

Physician's Profile

Full Name	Dr Kenneth David Burgess
Gender	Male
Speciality	Family Medicine
Location	3845 South New Hope Road, Gastonia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538147376
Provider Enumeration Date: 01/03/2006
Last Update Date: 07/14/2008

Medicare PECOS Information:

PECOS PAC ID: 1951321165
Enrollment ID: I20051202000428

Medical Identifiers

Medical identifiers for Dr Kenneth David Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538147376	NPI	-	NPPES
19982	Other	NC	BCBS
205144C	Other	NC	MEDICARE PTAN#
P00297412	Other	NC	PALMETTO GBA
8919982	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	32655 (North Carolina)	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 Kenneth David Burgess allows following entities to bill medicare on his behalf.

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

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 Kenneth David Burgess 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 Kenneth David Burgess, M D Po Box 551178, Gastonia, NC 28055-1178 Ph: (704) 824-9119	Dr Kenneth David Burgess, M D 3845 South New Hope Road, Gastonia, NC 28056 Ph: (704) 824-9119

Reviews and Comments

Family Medicine Doctors in Gastonia, NC

Adnan Ekram, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2555 Court Dr, Suite 270, Gastonia, NC 28054 Phone: 704-834-4390 Fax: 704-834-3274
Dr. Michelle E Wilkinson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3302 S New Hope Rd Ste 100e, Gastonia, NC 28056 Phone: 704-879-4936 Fax: 908-225-0492
Saroj Gyawali, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-2500
Cornelius S Okonkwo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 W Franklin Blvd, Gastonia, NC 28052 Phone: 704-867-8855 Fax: 704-867-1414
Dr. Michael Sean Mccartney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Cox Rd, Gastonia, NC 28054 Phone: 704-800-4268
Lewis Bolin Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1896 Remount Rd, Gastonia, NC 28054 Phone: 704-512-3930
Kenneth Patrick Edel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 885 Summit Crossing Pl, Gastonia, NC 28054 Phone: 704-316-4979 Fax: 704-316-4978

Dr Kenneth David Burgess, M D - Medicare Family Medicine in Gastonia, NC