David W Bursack, DNP-FNP is a medicare enrolled "Nurse Practitioner - Family" in Clear Lake, South Dakota. His current practice location is
701 3rd Ave S, Clear Lake, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 874-2141.
David W Bursack is licensed to practice in South Dakota (license number CP002886) 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 1508545294.
Provider's Profile
| Full Name | David W Bursack |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 701 3rd Ave S, Clear Lake, South Dakota |
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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: 1508545294
- Provider Enumeration Date: 07/12/2023
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678921400
- Enrollment ID: I20231204003451
Medical Identifiers
Medical identifiers for David W Bursack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508545294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | CP002886 (North Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CP002886 (South Dakota) | 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. David W Bursack allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699869875
PECOS PAC ID: 6800707100
Enrollment ID: O20040715001116 |
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| Entity Name | Sanford Health Network |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1780781054
PECOS PAC ID: 6800707100
Enrollment ID: O20061213000244 |
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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. David W Bursack 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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David W Bursack, DNP-FNP
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-9419 | David W Bursack, DNP-FNP
701 3rd Ave S,
Clear Lake, SD 57226-2016
Ph: (605) 874-2141 |
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