Lisa Keating Burris, PA is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Florissant, Missouri. Her current practice location is
1225 Graham Rd, Florissant, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 953-6000.
Lisa Keating Burris is licensed to practice in * (Not Available) (license number ) 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 1124790142.
Provider's Profile
Full Name | Lisa Keating Burris |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1225 Graham Rd, Florissant, Missouri |
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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: 1124790142
- Provider Enumeration Date: 09/28/2021
- Last Update Date: 05/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951782648
- Enrollment ID: I20220712003344
Medical Identifiers
Medical identifiers for Lisa Keating Burris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124790142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2022001190 (Missouri) | 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. Lisa Keating Burris 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 |
Lisa Keating Burris, PA 3312 Saint Charles Rd, Columbia, MO 65201-6657 Ph: (636) 485-9368 | Lisa Keating Burris, PA 1225 Graham Rd, Florissant, MO 63031-8012 Ph: (314) 953-6000 |
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