Mary C Burke, CNM is a medicare enrolled "Advanced Practice Midwife" in Evergreen Park, Illinois. Her current practice location is
2850 W 95th St, Suite 103, Evergreen Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 636-9205.
Mary C Burke is licensed to practice in Illinois (license number 277000832) 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 1497065312.
Provider's Profile
| Full Name | Mary C Burke |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 2850 W 95th St, Evergreen Park, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497065312
- Provider Enumeration Date: 10/13/2010
- Last Update Date: 09/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800085010
- Enrollment ID: I20220421001448
Medical Identifiers
Medical identifiers for Mary C Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497065312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 277000832 (Illinois) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 209008339 (Illinois) | Secondary |
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. Mary C Burke allows following entities to bill medicare on her behalf.
| Entity Name | Avery Integrative Women's Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578232468
PECOS PAC ID: 0345637351
Enrollment ID: O20220421001362 |
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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. Mary C Burke 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 |
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Mary C Burke, CNM
2850 W 95th St, Suite 103,
Evergreen Park, IL 60805-2735
Ph: (708) 636-9205 | Mary C Burke, CNM
2850 W 95th St, Suite 103,
Evergreen Park, IL 60805-2735
Ph: (708) 636-9205 |
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