Ms Haley Beth Burnside, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Conroe, Texas. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kelsey-seybold Medical Group, Pllc and her current practice location is
4714 Fm 1488 Rd Ste 132, Conroe, Texas. You can reach out to her office (for appointments etc.) via phone at
(877) 868-2528.
Ms Haley Beth Burnside is licensed to practice in Texas (license number AP145051) 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 1184256612.
Physician's Profile
Full Name | Ms Haley Beth Burnside |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 4714 Fm 1488 Rd Ste 132, Conroe, Texas |
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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:
- Ms Haley Beth Burnside graduated from medical school in 2019
NPI Data:
- NPI Number: 1184256612
- Provider Enumeration Date: 02/12/2020
- Last Update Date: 06/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315376670
- Enrollment ID: I20200407004014
Medical Identifiers
Medical identifiers for Ms Haley Beth Burnside such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184256612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | AP145051 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP145051 (Texas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Kelsey-seybold Medical Group, Pllc | 9739093527 | 614 |
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. Ms Haley Beth Burnside allows following entities to bill medicare on her behalf.
Entity Name | Kelsey-seybold Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
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Entity Name | Nhue Ho Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174894380 PECOS PAC ID: 8224299730 Enrollment ID: O20120410000543 |
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Entity Name | Total Care 2 U Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508320755 PECOS PAC ID: 7012344807 Enrollment ID: O20200217000382 |
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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. Ms Haley Beth Burnside 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 |
Ms Haley Beth Burnside, FNP-C 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-4997 | Ms Haley Beth Burnside, FNP-C 4714 Fm 1488 Rd Ste 132, Conroe, TX 77384-4930 Ph: (877) 868-2528 |
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