Ian Ladd Burge, NURSE PRACTITIONER in Birmingham, AL

Ian Ladd Burge, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Birmingham, Alabama. His current practice location is 420 20th St N Ste 2200, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (866) 949-0108.

Ian Ladd Burge is licensed to practice in Alabama (license number 1-094401) 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 1124317359.

Contact Information

	Ian Ladd Burge, NURSE PRACTITIONER
	420 20th St N Ste 2200, Birmingham, AL 35203-3261
	(866) 949-0108
	Not Available

Map and Direction

Provider's Profile

Full Name	Ian Ladd Burge
Gender	Male
Speciality	Nurse Practitioner - Family
Location	420 20th St N Ste 2200, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124317359
Provider Enumeration Date: 03/28/2011
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 9931394632
Enrollment ID: I20210707003974

Medical Identifiers

Medical identifiers for Ian Ladd Burge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124317359	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-094401 (Alabama)	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. Ian Ladd Burge allows following entities to bill medicare on his behalf.

Entity Name	Landmark Medical Of Florida Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639888571 PECOS PAC ID: 7810369725 Enrollment ID: O20230202000078

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. Ian Ladd Burge 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
Ian Ladd Burge, NURSE PRACTITIONER 40 S Main St Ste 1300, Memphis, TN 38103-5513 Ph: (866) 949-0108	Ian Ladd Burge, NURSE PRACTITIONER 420 20th St N Ste 2200, Birmingham, AL 35203-3261 Ph: (866) 949-0108

Reviews and Comments

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Ian Ladd Burge, NURSE PRACTITIONER - Medicare Nurse Practitioner in Birmingham, AL