Mitchell David Burnbaum, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fruita, Colorado. His current practice location is
551 Kokopelli Blvd Unit G, Fruita, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 243-9180.
Mitchell David Burnbaum is licensed to practice in Colorado (license number DR.0020923) 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 1700866159.
Physician's Profile
Full Name | Mitchell David Burnbaum |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Neurology |
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Location | 551 Kokopelli Blvd Unit G, Fruita, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700866159
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 11/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325027444
- Enrollment ID: I20040714000333
Medical Identifiers
Medical identifiers for Mitchell David Burnbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700866159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | DR.0020923 (Colorado) | 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. Mitchell David Burnbaum allows following entities to bill medicare on his behalf.
Entity Name | Lower Valley Hospital Association |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
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Entity Identifiers | NPI Number: 1609190206 PECOS PAC ID: 4284526021 Enrollment ID: O20040326000937 |
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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. Mitchell David Burnbaum 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 |
Mitchell David Burnbaum, MD Po Box 130, Fruita, CO 81521-0130 Ph: (970) 243-9180 | Mitchell David Burnbaum, MD 551 Kokopelli Blvd Unit G, Fruita, CO 81521-6305 Ph: (970) 243-9180 |
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