Jason Shade Burgess, MD - Medicare General Surgery in Charlotte, NC

Jason Shade Burgess, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Charlotte, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Surgical Specialists Of Charlotte Pa and his current practice location is 2001 Vail Avenue, Ste 320, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 333-0741.

Jason Shade Burgess is licensed to practice in North Carolina (license number 200200093) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043201361.

Contact Information

Jason Shade Burgess, MD
2001 Vail Avenue, Ste 320,
Charlotte, NC 28207-1107
(704) 333-0741
(704) 333-3356



Physician's Profile

Full NameJason Shade Burgess
GenderMale
SpecialityGeneral Surgery
Experience28 Years
Location2001 Vail Avenue, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason Shade Burgess attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1043201361
  • Provider Enumeration Date: 11/04/2005
  • Last Update Date: 09/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628040987
  • Enrollment ID: I20040809000510

Medical Identifiers

Medical identifiers for Jason Shade Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043201361NPI-NPPES
2000396DOtherMEDICARE PIN FACULTY
891305AMedicaidNC
2000396OtherMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 200200093 (North Carolina)Secondary
2086S0129XSurgery - Vascular Surgery 200200093 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Surgical Specialists Of Charlotte Pa377951928533

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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. Jason Shade Burgess allows following entities to bill medicare on his behalf.
Entity NameMetrolina Nephrology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083664189
PECOS PAC ID: 8022916600
Enrollment ID: O20031219000790

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Entity NameSurgical Specialists Of Charlotte Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073599734
PECOS PAC ID: 3779519285
Enrollment ID: O20050714001059

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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. Jason Shade 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 AddressPractice Location Address
Jason Shade Burgess, MD
Po Box 33369,
Charlotte, NC 28233-3369

Ph: (704) 364-8100
Jason Shade Burgess, MD
2001 Vail Avenue, Ste 320,
Charlotte, NC 28207-1107

Ph: (704) 333-0741

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Surgery Doctors in Charlotte, NC

Dr. John Gordon Morrison, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2015 Randolph Rd, Suite 201, Charlotte, NC 28207
Phone: 704-333-1259    Fax: 704-333-0371
Michael Passeri, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204
Phone: 704-355-8816    
Jeko Metodiev Madjarov, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204
Phone: 704-373-0212    
Toan Thiet Huynh, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1350 S Kings Dr, Charlotte, NC 28207
Phone: 704-446-1255    
Sara L Turner, NP
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-512-7562    Fax: 704-512-7576
Robert Gordon Graper, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2915 Coltsgate Rd, Ste 103, Charlotte, NC 28211
Phone: 704-375-7111    Fax: 704-375-0444

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