Kelly Marie Burchette, is a
Student In An Organized Health Care Education/training Program based in Summerville, South Carolina. Kelly Marie Burchette is licensed to practice in * (Not Available) (license number ) and her current practice location is
313 Club View Rd, Summerville, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 469-3755.
NPI number for Kelly Marie Burchette is 1457115073 and her current mailing address is 313 Club View Rd, Summerville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457115073.
Provider's Profile
| Full Name | Kelly Marie Burchette |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 313 Club View Rd, Summerville, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457115073
- Provider Enumeration Date: 02/13/2024
- Last Update Date: 02/13/2024
Medical Identifiers
Medical identifiers for Kelly Marie Burchette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457115073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Kelly Marie Burchette is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Marie Burchette,
313 Club View Rd,
Summerville, SC 29485-6207
Ph: () - | Kelly Marie Burchette,
313 Club View Rd,
Summerville, SC 29485-6207
Ph: (843) 469-3755 |
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