Edward L Burkhalter, MD - Medicare Internal Medicine in Sioux Falls, SD

Edward L Burkhalter, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Sioux Falls, South Dakota. His current practice location is 1417 S. Cliff Ave., Ste. 300, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 322-8630.

Edward L Burkhalter is licensed to practice in South Dakota (license number 9339) 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 1396708046.

Contact Information

Edward L Burkhalter, MD
1417 S. Cliff Ave., Ste. 300,
Sioux Falls, SD 57105-1062
(605) 322-8630
(605) 322-8631

Map and Direction




Physician's Profile

Full NameEdward L Burkhalter
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location1417 S. Cliff Ave., Sioux Falls, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396708046
  • Provider Enumeration Date: 04/11/2006
  • Last Update Date: 11/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4587658133
  • Enrollment ID: I20160308002754

Medical Identifiers

Medical identifiers for Edward L Burkhalter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396708046NPI-NPPES
92411422906OtherMNPRIMEWEST
45358OtherSDSANFORD HEALTH PLAN
3185967MedicaidIA
57105B031OtherSDWPS TRICARE
186P6BUOtherMNCC SYSTEMS/ BLUE PLUS
370624200OtherSDDEPT OF LABOR
4994677OtherSDBLUE CROSS
6005120MedicaidSD
186P6BUOtherMNBLUE CROSS
2391537OtherSDARAZ/ AMERICA'S PPO
2900425OtherSDMEDICA
5516OtherSDDAKOTACARE
789434100MedicaidMN
HP55732OtherSDHEALTHPARTNERS
46022474338MedicaidNE
769171045255OtherSDPREFERRED ONE
11660OtherSDMIDLANDS CHOICE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 5516 (South Dakota)Secondary
207RG0100XInternal Medicine - Gastroenterology 9339 (South Dakota)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. Edward L Burkhalter allows following entities to bill medicare on his behalf.
Entity NameSoutheast Missouri Hospital Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558311522
PECOS PAC ID: 9133024334
Enrollment ID: O20031201000775

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. Edward L Burkhalter 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 AddressPractice Location Address
Edward L Burkhalter, MD
2400 S. Minnesota Ave., Ste. 100,
Sioux Falls, SD 57105-3762

Ph: (605) 322-7510
Edward L Burkhalter, MD
1417 S. Cliff Ave., Ste. 300,
Sioux Falls, SD 57105-1062

Ph: (605) 322-8630

Reviews and Comments


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Phone: 605-322-8993    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.