Stephen Spencer Burnside, MD is a medicare enrolled "Internal Medicine" physician in Kodiak, Alaska. 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 |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1818 E Rezanof Dr, Kodiak, Alaska |
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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 in
NPI Data:
- NPI Number: 1225004401
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 04/15/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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