Jason Shade Burgess, MD in Charlotte, NC - Medicare General Surgery

Jason Shade Burgess, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Charlotte, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Surgical Specialists Of Charlotte Pa and his current practice location is 2001 Vail Avenue, Ste 320, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 333-0741.

Jason Shade Burgess is licensed to practice in North Carolina (license number 200200093) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043201361.

Contact Information

	Jason Shade Burgess, MD
	2001 Vail Avenue, Ste 320, Charlotte, NC 28207-1107
	(704) 333-0741
	(704) 333-3356

Map and Direction

Physician's Profile

Full Name	Jason Shade Burgess
Gender	Male
Speciality	General Surgery
Experience	28 Years
Location	2001 Vail Avenue, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason Shade Burgess attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1996

NPI Data:

NPI Number: 1043201361
Provider Enumeration Date: 11/04/2005
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8628040987
Enrollment ID: I20040809000510

Medical Identifiers

Medical identifiers for Jason Shade Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043201361	NPI	-	NPPES
2000396D	Other		MEDICARE PIN FACULTY
891305A	Medicaid	NC
2000396	Other		MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	200200093 (North Carolina)	Secondary
2086S0129X	Surgery - Vascular Surgery	200200093 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital
Novant Health Presbyterian Medical Center	Charlotte, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Surgical Specialists Of Charlotte Pa	3779519285	33

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. Jason Shade Burgess allows following entities to bill medicare on his behalf.

Entity Name	Metrolina Nephrology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664189 PECOS PAC ID: 8022916600 Enrollment ID: O20031219000790

Entity Name	Surgical Specialists Of Charlotte Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20050714001059

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. Jason Shade 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
Jason Shade Burgess, MD Po Box 33369, Charlotte, NC 28233-3369 Ph: (704) 364-8100	Jason Shade Burgess, MD 2001 Vail Avenue, Ste 320, Charlotte, NC 28207-1107 Ph: (704) 333-0741

Reviews and Comments

Surgery Doctors in Charlotte, NC

Dr. John Gordon Morrison, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2015 Randolph Rd, Suite 201, Charlotte, NC 28207 Phone: 704-333-1259 Fax: 704-333-0371
Michael Passeri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204 Phone: 704-355-8816
Jeko Metodiev Madjarov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212
Benjamin Yglesias, Surgery Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Toan Thiet Huynh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1255
Sara L Turner, NP Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-512-7562 Fax: 704-512-7576

Jason Shade Burgess, MD - Medicare General Surgery in Charlotte, NC