Mrs Patricia Campbell Burks, OTR/L in Lake Wales, FL - Medicare Occupational Therapist Provider

Mrs Patricia Campbell Burks, OTR/L is a medicare enrolled "Occupational Therapist" provider in Lake Wales, Florida. Her current practice location is 10 W Grove Ave, Lake Wales, Florida. You can reach out to her office (for appointments etc.) via phone at (706) 415-6771.

Mrs Patricia Campbell Burks is licensed to practice in Florida (license number OT23034) 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 1235917519.

Contact Information

	Mrs Patricia Campbell Burks, OTR/L
	10 W Grove Ave, Lake Wales, FL 33853-4516
	(706) 415-6771
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Patricia Campbell Burks
Gender	Female
Speciality	Occupational Therapist
Location	10 W Grove Ave, Lake Wales, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235917519
Provider Enumeration Date: 09/19/2023
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1355796574
Enrollment ID: I20231009000984

Medical Identifiers

Medical identifiers for Mrs Patricia Campbell Burks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235917519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT002566 (Georgia)	Secondary
225X00000X	Occupational Therapist	OT23034 (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. Mrs Patricia Campbell Burks allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289

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 Patricia Campbell Burks 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 Patricia Campbell Burks, OTR/L 1537 Judy St, Lake Wales, FL 33898-6403 Ph: (706) 415-6771	Mrs Patricia Campbell Burks, OTR/L 10 W Grove Ave, Lake Wales, FL 33853-4516 Ph: (706) 415-6771

Reviews and Comments

Occupational Therapist in Lake Wales, FL

Mrs. Tiffany Christine Tary, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 512 S 11th St, Lake Wales, FL 33853 Phone: 713-826-9788
Jennifer Bayron, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Burns Ave, Lake Wales, FL 33853 Phone: 863-679-3338
Alma Fajardo, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 730 N Scenic Hwy, Lake Wales, FL 33853 Phone: 863-676-1512
Bailey Lyn Browning, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11208 Quails Bluff Cir, Lake Wales, FL 33853 Phone: 863-532-2772
Susan J Strait, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Burns Ave, Lake Wales, FL 33853 Phone: 863-679-3338
Marie Olivas-gomez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Burns Ave, Lake Wales, FL 33853 Phone: 863-679-3338

Mrs Patricia Campbell Burks, OTR/L - Medicare Occupational Therapist in Lake Wales, FL