Ms Kaitlin Jenna Burke, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in New York, New York. Her current practice location is
170 William St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 312-5000.
Ms Kaitlin Jenna Burke 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 1366108409.
Provider's Profile
| Full Name | Ms Kaitlin Jenna Burke |
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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 | 170 William St, New York, New York |
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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: 1366108409
- Provider Enumeration Date: 11/12/2021
- Last Update Date: 11/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 3274904677
- Enrollment ID: I20230123001564
Medical Identifiers
Medical identifiers for Ms Kaitlin Jenna Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366108409 | 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. Ms Kaitlin Jenna 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 |
|---|
Ms Kaitlin Jenna Burke,
3704 W Broadway Apt 3305,
Columbia, MO 65203-0241
Ph: (636) 484-3029 | Ms Kaitlin Jenna Burke,
170 William St,
New York, NY 10038-2612
Ph: (212) 312-5000 |
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