Prof Tina Marie Burgess, ARNP in Port Orange, FL

Prof Tina Marie Burgess, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Port Orange, Florida. Her current practice location is 790 Dunlawton Ave, Suite E, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 760-1877.

Prof Tina Marie Burgess is licensed to practice in Florida (license number ARNP1840402) 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 1962503045.

Contact Information

	Prof Tina Marie Burgess, ARNP
	790 Dunlawton Ave, Suite E, Port Orange, FL 32127-9279
	(386) 760-1877
	(386) 760-2791

Map and Direction

Provider's Profile

Full Name	Prof Tina Marie Burgess
Gender	Female
Speciality	Nurse Practitioner - Family
Location	790 Dunlawton Ave, Port Orange, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962503045
Provider Enumeration Date: 09/25/2006
Last Update Date: 04/05/2017

Medicare PECOS Information:

PECOS PAC ID: 9830149947
Enrollment ID: I20050126000957

Medical Identifiers

Medical identifiers for Prof Tina Marie Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962503045	NPI	-	NPPES
45360	Other	FL	MEDICARE GROUP
59-3667262	Other	FL	TAX ID#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP1840402 (Florida)	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. Prof Tina Marie Burgess allows following entities to bill medicare on her behalf.

Entity Name	Halifax Healthcare Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443

Entity Name	Florida Health Care Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558302042 PECOS PAC ID: 9436201233 Enrollment ID: O20090708000537

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. Prof Tina Marie Burgess 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
Prof Tina Marie Burgess, ARNP Po Box 9671, Daytona Beach, FL 32120-9671 Ph: (386) 676-7130	Prof Tina Marie Burgess, ARNP 790 Dunlawton Ave, Suite E, Port Orange, FL 32127-9279 Ph: (386) 760-1877

Reviews and Comments

Nurse Practitioner Nurses in Port Orange, FL

Holly Anne Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 870 Dunlawton Ave Ste 210a, Port Orange, FL 32127 Phone: 386-518-3671
Olivia Michelle Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127 Phone: 386-271-2273 Fax: 386-271-2274
Lynn Ann Howard, ARNP, PMHNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 804 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-767-8584 Fax: 386-767-8536
Jay W Butwinick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1730 Dunlawton Ave Ste 1, Port Orange, FL 32127 Phone: 386-320-3299
Margaret M. Thompson, A.R.N.P., M.S.N Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 735 Dunlawton Ave, Port Orange, FL 32127 Phone: 888-808-0488 Fax: 386-872-4232
Kelly S Kiah, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 Woodbriar Trl, Port Orange, FL 32129 Phone: 386-322-4752
Ms. Margaret Leger Ramstad, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1648 Taylor Rd Ste 259, Port Orange, FL 32128 Phone: 386-320-5525 Fax: 386-222-7395

Prof Tina Marie Burgess, ARNP - Medicare Nurse Practitioner in Port Orange, FL