Molly Grace Burch, PA is a
Student In An Organized Health Care Education/training Program based in Yukon, Oklahoma. Molly Grace Burch is licensed to practice in * (Not Available) (license number ) and her current practice location is
10013 Velletri Ave, Yukon, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 317-7754.
NPI number for Molly Grace Burch is 1639996325 and her current mailing address is 10013 Velletri Ave, Yukon, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639996325.
Provider's Profile
Full Name | Molly Grace Burch |
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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 | 10013 Velletri Ave, Yukon, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639996325
- Provider Enumeration Date: 09/24/2024
- Last Update Date: 09/24/2024
Medical Identifiers
Medical identifiers for Molly Grace Burch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639996325 | 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. Molly Grace Burch 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 |
Molly Grace Burch, PA 10013 Velletri Ave, Yukon, OK 73099-8585 Ph: (405) 317-7754 | Molly Grace Burch, PA 10013 Velletri Ave, Yukon, OK 73099-8585 Ph: (405) 317-7754 |
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