Lance R Burrell, APRN is a medicare enrolled "Nurse Practitioner - Family" in San Fidel, New Mexico. His current practice location is
Exit 102 11/2 Mi. South I-40, Acoma-canoncito-laguna Indian, San Fidel, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 552-5300.
Lance R Burrell is licensed to practice in Arizona (license number AP4694) 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 1730146754.
Provider's Profile
Full Name | Lance R Burrell |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | Exit 102 11/2 Mi. South I-40, San Fidel, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730146754
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 09/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 1355386426
- Enrollment ID: I20130111000259
Medical Identifiers
Medical identifiers for Lance R Burrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730146754 | NPI | - | NPPES |
H3451 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 5653727-4405 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP4694 (Arizona) | 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. Lance R Burrell allows following entities to bill medicare on his behalf.
Entity Name | La Paz Regional Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053684555 PECOS PAC ID: 1557273356 Enrollment ID: O20031219000694 |
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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. Lance R Burrell 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 |
Lance R Burrell, APRN Po Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300 | Lance R Burrell, APRN Exit 102 11/2 Mi. South I-40, Acoma-canoncito-laguna Indian, San Fidel, NM 87049-0130 Ph: (505) 552-5300 |
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