Charles Park Burchette, in Tarzana, CA - Medicare Registered Nurse

Charles Park Burchette, is a medicare enrolled "Registered Nurse - School" in Tarzana, California. His current practice location is 5820 Yolanda Ave Apt 8, Tarzana, California. You can reach out to his office (for appointments etc.) via phone at (818) 404-8336.

Charles Park Burchette is licensed to practice in California (license number 716149) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568754869.

Contact Information

	Charles Park Burchette,
	5820 Yolanda Ave Apt 8, Tarzana, CA 91356-1450
	(818) 404-8336
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles Park Burchette
Gender	Male
Speciality	Registered Nurse - School
Location	5820 Yolanda Ave Apt 8, Tarzana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568754869
Provider Enumeration Date: 05/05/2011
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 3476719808
Enrollment ID: I20120730000311

Medical Identifiers

Medical identifiers for Charles Park Burchette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568754869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WS0200X	Registered Nurse - School	716149 (California)	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. Charles Park Burchette 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

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. Charles Park Burchette 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
Charles Park Burchette, 5820 Yolanda Ave Apt 8, Tarzana, CA 91356-1450 Ph: (818) 404-8336	Charles Park Burchette, 5820 Yolanda Ave Apt 8, Tarzana, CA 91356-1450 Ph: (818) 404-8336

Reviews and Comments

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Charles Park Burchette, - Medicare Registered Nurse in Tarzana, CA