Dr Elizabeth I Burch, DPT is a medicare enrolled "Physical Therapist" provider in Hobart, Wisconsin. Her current practice location is
650 Centennial Centre Blvd, Hobart, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 600-8583.
Dr Elizabeth I Burch is licensed to practice in Wisconsin (license number 11607-24) 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 1306154299.
Healthcare Provider's Profile
| Full Name | Dr Elizabeth I Burch |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 650 Centennial Centre Blvd, Hobart, Wisconsin |
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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: 1306154299
- Provider Enumeration Date: 09/14/2010
- Last Update Date: 02/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385057678
- Enrollment ID: I20210105002261
Medical Identifiers
Medical identifiers for Dr Elizabeth I Burch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306154299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 11607-24 (Wisconsin) | 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. Dr Elizabeth I Burch allows following entities to bill medicare on her behalf.
| Provider Name | Sundance Rehabilitation Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1073912119
PECOS PAC ID: 7911815329
Enrollment ID: O20140917001161 |
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| Provider Name | Great Lakes Healthcare Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1184282618
PECOS PAC ID: 5395079719
Enrollment ID: O20190730000104 |
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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. Dr Elizabeth I Burch 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 |
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Dr Elizabeth I Burch, DPT
N6135 Woodland Meadows Dr,
Sheboygan, WI 53083-3347
Ph: (920) 207-8855 | Dr Elizabeth I Burch, DPT
650 Centennial Centre Blvd,
Hobart, WI 54155-8989
Ph: (920) 600-8583 |
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