Tucker Van Rensselaer Burr, MD in Los Angeles, CA

Tucker Van Rensselaer Burr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 757 Westwood Plz, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 825-9111.

Tucker Van Rensselaer Burr is licensed to practice in California (license number A176487) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487186698.

Contact Information

	Tucker Van Rensselaer Burr, MD
	757 Westwood Plz, Los Angeles, CA 90095-8358
	(310) 825-9111
	Not Available

Map and Direction

Physician's Profile

Full Name	Tucker Van Rensselaer Burr
Gender	Male
Speciality	Diagnostic Radiology
Experience	7 Years
Location	757 Westwood Plz, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tucker Van Rensselaer Burr graduated from medical school in 2017

NPI Data:

NPI Number: 1487186698
Provider Enumeration Date: 03/28/2017
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1456609593
Enrollment ID: I20220520001072

Medical Identifiers

Medical identifiers for Tucker Van Rensselaer Burr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487186698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	1487186698 (Illinois)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A176487 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - West La	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Tucker Van Rensselaer Burr allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Martin Luther King Jr Community Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

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. Tucker Van Rensselaer 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
Tucker Van Rensselaer Burr, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Tucker Van Rensselaer Burr, MD 757 Westwood Plz, Los Angeles, CA 90095-8358 Ph: (310) 825-9111

Reviews and Comments

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Tucker Van Rensselaer Burr, MD - Medicare Diagnostic Radiology in Los Angeles, CA