Mrs Gina Marie Burbank, FNP-C in Douglasville, GA

Mrs Gina Marie Burbank, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Douglasville, Georgia. She went to University Of Alabama School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellstar Medical Group, Llc and her current practice location is 6002 Professional Pkwy Ste 220, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 715-9690.

Mrs Gina Marie Burbank is licensed to practice in Georgia (license number RN217757) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255808754.

Contact Information

	Mrs Gina Marie Burbank, FNP-C
	6002 Professional Pkwy Ste 220, Douglasville, GA 30134-5627
	(678) 715-9690
	(678) 581-7140

Map and Direction

Provider's Profile

Full Name	Mrs Gina Marie Burbank
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	6002 Professional Pkwy Ste 220, Douglasville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Gina Marie Burbank attended and graduated from University Of Alabama School Of Medicine in 2018

NPI Data:

NPI Number: 1255808754
Provider Enumeration Date: 11/01/2018
Last Update Date: 08/17/2020

Medicare PECOS Information:

PECOS PAC ID: 8022359462
Enrollment ID: I20190411001143

Medical Identifiers

Medical identifiers for Mrs Gina Marie Burbank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255808754	NPI	-	NPPES
1255808754	Other	GA	NPI NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN217757 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN217757 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Douglas Hospital	Douglasville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group, Llc	6709065402	1917

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. Mrs Gina Marie Burbank allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Mrs Gina Marie Burbank 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
Mrs Gina Marie Burbank, FNP-C 531 Roselane St Nw Ste 710, Marietta, GA 30060-6975 Ph: (678) 331-3297	Mrs Gina Marie Burbank, FNP-C 6002 Professional Pkwy Ste 220, Douglasville, GA 30134-5627 Ph: (678) 715-9690

Reviews and Comments

Nurse Practitioner Nurses in Douglasville, GA

Amparo Pyronneau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8954 Hospital Dr, Building B, Suite 115, Douglasville, GA 30134 Phone: 770-874-5400
Ms. Tommie Joann Floyd, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6025 Professional Pkwy Ste 200, Douglasville, GA 30134 Phone: 770-949-0555
Irene Obiageri Ibenyenwa, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6031 Fairburn Rd, Douglasville, GA 30134 Phone: 770-942-9214
Nina Sheria Lagarde, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 678-838-2584
Amanda Ray, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9280 Highway 5, Douglasville, GA 30134 Phone: 770-949-2250
Hina Rajesh Nana, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6025 Professional Pkwy, Suite 200, Douglasville, GA 30134 Phone: 770-949-0555 Fax: 770-949-4424
Kelly Quiana Talbert Thaggard, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022

Mrs Gina Marie Burbank, FNP-C - Medicare Nurse Practitioner in Douglasville, GA