Ms Mary Louise Burr, ANP is a medicare enrolled "Nurse Practitioner" physician in Mountain Home, Arkansas. Her current practice location is
105 Spring Park Dr, Mountain Home, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 424-0053.
Ms Mary Louise Burr is licensed to practice in Arkansas (license number AO1859) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851484992.
Physician's Profile
Full Name | Ms Mary Louise Burr |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 105 Spring Park Dr, Mountain Home, Arkansas |
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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: 1851484992
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 12/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254425374
- Enrollment ID: I20070920000471
Medical Identifiers
Medical identifiers for Ms Mary Louise Burr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851484992 | NPI | - | NPPES |
1851484992 | Medicaid | AR | |
171117758 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A001859 (Arkansas) | Secondary |
363L00000X | Nurse Practitioner | AO1859 (Arkansas) | 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. Ms Mary Louise Burr allows following entities to bill medicare on her behalf.
Entity Name | Regional Family Medicine, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003814609 PECOS PAC ID: 5092758987 Enrollment ID: O20050602000588 |
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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 Mary Louise Burr 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 Mary Louise Burr, ANP 105 Spring Park Dr, Mountain Home, AR 72653-2386 Ph: (870) 424-0053 | Ms Mary Louise Burr, ANP 105 Spring Park Dr, Mountain Home, AR 72653-2386 Ph: (870) 424-0053 |
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