Stephen Spencer Burnside, MD - Medicare Internal Medicine in Kodiak, AK

Stephen Spencer Burnside, MD is a medicare enrolled "Internal Medicine" physician in Kodiak, Alaska. He went to University Of California, Irvine, California College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Kodiak Island Health Care Foundation, Providence Health And Services Washington and his current practice location is 1818 E Rezanof Dr, Kodiak, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 486-6065.

Stephen Spencer Burnside is licensed to practice in Alaska (license number AA2876) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1225004401.

Contact Information

Stephen Spencer Burnside, MD
1818 E Rezanof Dr,
Kodiak, AK 99615
(907) 486-6065
(907) 486-2248



Physician's Profile

Full NameStephen Spencer Burnside
GenderMale
SpecialityInternal Medicine
Experience35 Years
Location1818 E Rezanof Dr, Kodiak, Alaska
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephen Spencer Burnside attended and graduated from University Of California, Irvine, California College Of Medicine in 1989
  NPI Data:
  • NPI Number: 1225004401
  • Provider Enumeration Date: 02/27/2006
  • Last Update Date: 04/15/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2567552482
  • Enrollment ID: I20100302000729

Medical Identifiers

Medical identifiers for Stephen Spencer Burnside such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225004401NPI-NPPES
920088665OtherAKEMPLOYEE ID
GR0173MedicaidAK
MD 03803MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine AA2876 (Alaska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Kodiak Island Medical CtrKodiak, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kodiak Island Health Care Foundation802292250914
Providence Health And Services Washington579967512015

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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. Stephen Spencer Burnside allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952430902
PECOS PAC ID: 5799675120
Enrollment ID: O20040318000605

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Entity NameProvidence Health & Services Washington
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1013905660
PECOS PAC ID: 5799675120
Enrollment ID: O20041221000920

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Entity NameKodiak Island Health Care Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326047044
PECOS PAC ID: 8022922509
Enrollment ID: O20090428000439

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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. Stephen Spencer Burnside 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
Stephen Spencer Burnside, MD
1818 E Rezanof Dr,
Kodiak, AK 99615

Ph: (907) 486-6065
Stephen Spencer Burnside, MD
1818 E Rezanof Dr,
Kodiak, AK 99615

Ph: (907) 486-6065

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Internal Medicine Doctors in Kodiak, AK

Carol Juergens, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-6065    Fax: 907-486-2248

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