Judith Ann Burroughs, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Collins, Georgia. Her current practice location is
556 Cifford Meeks Rd, Collins, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 536-5534.
Judith Ann Burroughs is licensed to practice in Georgia (license number RN197836) 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 1962120196.
Provider's Profile
Full Name | Judith Ann Burroughs |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
---|
Location | 556 Cifford Meeks Rd, Collins, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962120196
- Provider Enumeration Date: 08/15/2022
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810433901
- Enrollment ID: I20240725000788
Medical Identifiers
Medical identifiers for Judith Ann Burroughs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962120196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN197836 (Georgia) | 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. Judith Ann Burroughs allows following entities to bill medicare on her behalf.
Entity Name | Southern Primary Care, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1225551328 PECOS PAC ID: 3173897196 Enrollment ID: O20170914001778 |
---|
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. Judith Ann Burroughs 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 |
Judith Ann Burroughs, NURSE PRACTITIONER 556 Cifford Meeks Rd, Collins, GA 30421 Ph: (912) 536-5534 | Judith Ann Burroughs, NURSE PRACTITIONER 556 Cifford Meeks Rd, Collins, GA 30421 Ph: (912) 536-5534 |
Reviews and Comments