Bobbie Jo Burdette, is a medicare enrolled "Nurse Practitioner - Family" in Given, West Virginia. Her current practice location is
202 Corbin Heights Cir, Given, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 532-4463.
Bobbie Jo Burdette is licensed to practice in West Virginia (license number APRN44075NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174088058.
Provider's Profile
| Full Name | Bobbie Jo Burdette |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 202 Corbin Heights Cir, Given, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174088058
- Provider Enumeration Date: 02/05/2019
- Last Update Date: 02/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 0749600039
- Enrollment ID: I20201027001258
Medical Identifiers
Medical identifiers for Bobbie Jo Burdette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174088058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN44075NP (West Virginia) | Primary |
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. Bobbie Jo Burdette allows following entities to bill medicare on her behalf.
| Entity Name | St. Joseph Recovery Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174021406
PECOS PAC ID: 0042548000
Enrollment ID: O20190829000101 |
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| Entity Name | Charleston Treatment Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720480668
PECOS PAC ID: 7113351784
Enrollment ID: O20230301001764 |
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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. Bobbie Jo Burdette 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 |
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Bobbie Jo Burdette,
202 Corbin Heights Cir,
Given, WV 25245-8072
Ph: (304) 532-4463 | Bobbie Jo Burdette,
202 Corbin Heights Cir,
Given, WV 25245-8072
Ph: (304) 532-4463 |
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