Mrs Staci Lynn Burleyson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Salem, Illinois. Her current practice location is
1275 Hawthorn Rd, Salem, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 548-4545.
Mrs Staci Lynn Burleyson is licensed to practice in Illinois (license number 209017646) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487159943.
Physician's Profile
Full Name | Mrs Staci Lynn Burleyson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1275 Hawthorn Rd, Salem, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Staci Lynn Burleyson attended and graduated from in
NPI Data:
- NPI Number: 1487159943
- Provider Enumeration Date: 03/27/2018
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Staci Lynn Burleyson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487159943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F03180485 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209017646 (Illinois) | Primary |
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. Mrs Staci Lynn Burleyson 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 |
Mrs Staci Lynn Burleyson, FNP-C 1275 Hawthorn Rd, Salem, IL 62881-1028 Ph: (618) 548-4545 | Mrs Staci Lynn Burleyson, FNP-C 1275 Hawthorn Rd, Salem, IL 62881-1028 Ph: (618) 548-4545 |
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