Stephen Spencer Burnside, MD is a medicare enrolled "Internal Medicine" physician in Kodiak, Alaska. He went to University Of California, Irvine, California College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Providence Health And Services Washington, Kodiak Island Health Care Foundation and his current practice location is
1818 E Rezanof Dr, Kodiak, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 486-6065.
Stephen Spencer Burnside is licensed to practice in Alaska (license number AA2876) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1225004401.
Physician's Profile
Full Name | Stephen Spencer Burnside |
---|
Gender | Male |
---|
Speciality | Internal Medicine |
---|
Experience | 35 Years |
---|
Location | 1818 E Rezanof Dr, Kodiak, Alaska |
---|
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stephen Spencer Burnside attended and graduated from University Of California, Irvine, California College Of Medicine in 1989
NPI Data:
- NPI Number: 1225004401
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 04/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 2567552482
- Enrollment ID: I20100302000729
Medical Identifiers
Medical identifiers for Stephen Spencer Burnside such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225004401 | NPI | - | NPPES |
920088665 | Other | AK | EMPLOYEE ID |
GR0173 | Medicaid | AK | |
MD 03803 | Medicaid | AK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | AA2876 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Health And Services Washington | 5799675120 | 15 |
Kodiak Island Health Care Foundation | 8022922509 | 14 |
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. Stephen Spencer Burnside allows following entities to bill medicare on his behalf.
Entity Name | Providence Health & Services Washington |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1952430902 PECOS PAC ID: 5799675120 Enrollment ID: O20040318000605 |
---|
Entity Name | Providence Health & Services Washington |
---|
Entity Type | Part A Provider - Critical Access Hospital |
---|
Entity Identifiers | NPI Number: 1013905660 PECOS PAC ID: 5799675120 Enrollment ID: O20041221000920 |
---|
Entity Name | Kodiak Island Health Care Foundation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1326047044 PECOS PAC ID: 8022922509 Enrollment ID: O20090428000439 |
---|
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. Stephen Spencer 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 |
Stephen Spencer Burnside, MD 1818 E Rezanof Dr, Kodiak, AK 99615 Ph: (907) 486-6065 | Stephen Spencer Burnside, MD 1818 E Rezanof Dr, Kodiak, AK 99615 Ph: (907) 486-6065 |
Reviews and Comments