Nicole M Burkemper, MD - Medicare Dermatology in Saint Louis, MO

Nicole M Burkemper, MD is a medicare enrolled "Dermatology" physician in Saint Louis, Missouri. Her current practice location is 1225 S Grand Blvd Fl 3, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 977-3400.

Nicole M Burkemper is licensed to practice in Minnesota (license number 44829) 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 1083694087.

Contact Information

Nicole M Burkemper, MD
1225 S Grand Blvd Fl 3,
Saint Louis, MO 63104-1016
(314) 977-3400
(314) 977-7613



Physician's Profile

Full NameNicole M Burkemper
GenderFemale
SpecialityDermatology
Location1225 S Grand Blvd Fl 3, Saint Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083694087
  • Provider Enumeration Date: 01/18/2006
  • Last Update Date: 02/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7214942168
  • Enrollment ID: I20060509000417

Medical Identifiers

Medical identifiers for Nicole M Burkemper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083694087NPI-NPPES
530633700MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 44829 (Minnesota)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. Nicole M Burkemper allows following entities to bill medicare on her behalf.
Entity NameSsm Health Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655

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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. Nicole M Burkemper 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
Nicole M Burkemper, MD
1008 S Spring Ave Fl 3,
Saint Louis, MO 63110-2520

Ph: (314) 977-1771
Nicole M Burkemper, MD
1225 S Grand Blvd Fl 3,
Saint Louis, MO 63104-1016

Ph: (314) 977-3400

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Dermatology Doctors in Saint Louis, MO

Dr. Caroline M Mann, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 969 N Mason Rd, Div Im Dermatology, Ste 220, Saint Louis, MO 63141
Phone: 314-273-3376    Fax: 888-682-0525
Dr. Eva A. Hurst, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 969 N Mason Rd Ste 200, Ste 200, Saint Louis, MO 63141
Phone: 314-996-8810    Fax: 314-996-8775
Shane A Grace, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 12855 N 40 Dr Ste 180, Saint Louis, MO 63141
Phone: 314-878-5599    Fax: 314-392-4290
Dr. Lee S Portnoff, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3009 N Ballas Rd, Ste 310a, Saint Louis, MO 63131
Phone: 314-993-2909    
Aibing Mary Guo, M.D.
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 1225 S Grand Blvd Fl 3, Saint Louis, MO 63104
Phone: 314-977-3400    Fax: 314-977-7613
Dr. Amy C Musiek, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4901 Forest Park Ave, Div Im Dermatology, Ste 502, Saint Louis, MO 63108
Phone: 314-273-3376    Fax: 888-665-8309
Dr. Gillian Meade Heinecke, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1755 S Grand Blvd, Saint Louis, MO 63104
Phone: 314-256-3430    Fax: 314-256-3431

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