| Burnham Woods Champa & Associates | |
|
1970 Michigan Ave J 2 Cocoa FL 32922-5758 | |
| (321) 639-4483 | |
| (321) 690-0848 |
| Full Name | Burnham Woods Champa & Associates |
|---|---|
| Speciality | Social Worker |
| Location | 1970 Michigan Ave, Cocoa, Florida |
| Authorized Official Name and Position | Gary Francis Burnham (OWNER) |
| Authorized Official Contact | 3216394483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burnham Woods Champa & Associates 1970 Michigan Ave J 2 Cocoa FL 32922-5758 Ph: (321) 639-4483 | Burnham Woods Champa & Associates 1970 Michigan Ave J 2 Cocoa FL 32922-5758 Ph: (321) 639-4483 |
| NPI Number | 1851354732 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8325049596 |
|---|---|
| Medicare Enrollment ID | O20070131000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851354732 | NPI | - | NPPES |
| 39755 | Other | FL | BLUE CROSS BLUE SHIELD |
| Provider Name | Abdol Amir Mirsajadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235196080 PECOS PAC ID: 7315040136 Enrollment ID: I20070316000073 |
| Provider Name | Rebecca T Biggin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790728616 PECOS PAC ID: 3274707484 Enrollment ID: I20111129000117 |
| Provider Name | Gary F Burnham |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1760446215 PECOS PAC ID: 3173525201 Enrollment ID: I20111206000367 |
| Provider Name | Aaron R Privett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821468117 PECOS PAC ID: 2466753561 Enrollment ID: I20151215000627 |
| Provider Name | Karen Lynn Czarniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891374195 PECOS PAC ID: 7315335759 Enrollment ID: I20211103003387 |
| Provider Name | Laila Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295482651 PECOS PAC ID: 7517346232 Enrollment ID: I20220625000630 |
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