Mrs Reagan Amanda Burge, CNM is a medicare enrolled "Advanced Practice Midwife" in Demorest, Georgia. Her current practice location is
870 Austin Dr Ste A, Demorest, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 229-4233.
Mrs Reagan Amanda Burge is licensed to practice in Georgia (license number RN191135) 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 1790259125.
Provider's Profile
Full Name | Mrs Reagan Amanda Burge |
---|
Gender | Female |
---|
Speciality | Advanced Practice Midwife |
---|
Location | 870 Austin Dr Ste A, Demorest, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790259125
- Provider Enumeration Date: 01/18/2019
- Last Update Date: 12/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446609887
- Enrollment ID: I20231212000439
Medical Identifiers
Medical identifiers for Mrs Reagan Amanda Burge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790259125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | RN191135 (Georgia) | 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. Mrs Reagan Amanda Burge allows following entities to bill medicare on her behalf.
Entity Name | Northeast Georgia Physicians Group Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
---|
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 Reagan Amanda Burge 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 Reagan Amanda Burge, CNM Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Mrs Reagan Amanda Burge, CNM 870 Austin Dr Ste A, Demorest, GA 30535-4585 Ph: (706) 229-4233 |
Reviews and Comments