B Geoffrey Burnham, PA-C is a medicare enrolled "Physician Assistant" in East Lyme, Connecticut. He went to Wake Forest University School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northeast Medical Group Inc and his current practice location is
324 Flanders Rd, East Lyme, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 739-6953.
B Geoffrey Burnham is licensed to practice in Connecticut (license number 000080) 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 1235112418.
Provider's Profile
Full Name | B Geoffrey Burnham |
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Gender | Male |
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Speciality | Physician Assistant |
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Experience | 42 Years |
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Location | 324 Flanders Rd, East Lyme, Connecticut |
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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:
- B Geoffrey Burnham attended and graduated from Wake Forest University School Of Medicine in 1982
NPI Data:
- NPI Number: 1235112418
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4486817467
- Enrollment ID: I20120601000099
Medical Identifiers
Medical identifiers for B Geoffrey Burnham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235112418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 000080 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northeast Medical Group Inc | 1254233836 | 1244 |
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. B Geoffrey Burnham 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 |
B Geoffrey Burnham, PA-C 324 Flanders Rd, East Lyme, CT 06333-1735 Ph: (860) 739-6953 | B Geoffrey Burnham, PA-C 324 Flanders Rd, East Lyme, CT 06333-1735 Ph: (860) 739-6953 |
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