Mr John W Burckle, PA-C in Shelbyville, KY - Medicare Physician Assistant

Mr John W Burckle, PA-C is a medicare enrolled "Physician Assistant" in Shelbyville, Kentucky. His current practice location is 727 Hospital Dr, Shelbyville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 367-3360.

Mr John W Burckle is licensed to practice in Kentucky (license number PA1008) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053354068.

Contact Information

	Mr John W Burckle, PA-C
	727 Hospital Dr, Shelbyville, KY 40065-1660
	(502) 367-3360
	Not Available

Provider's Profile

Full Name	Mr John W Burckle
Gender	Male
Speciality	Physician Assistant
Location	727 Hospital Dr, Shelbyville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053354068
Provider Enumeration Date: 06/14/2006
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 8325091028
Enrollment ID: I20070725000117

Medical Identifiers

Medical identifiers for Mr John W Burckle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053354068	NPI	-	NPPES
7100011930	Medicaid	KY
3663192	Medicaid	TN
4097067	Other	TN	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1227 (Tennessee)	Secondary
363A00000X	Physician Assistant	PA1008 (Kentucky)	Primary

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. Mr John W Burckle 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
Mr John W Burckle, PA-C Po Box 909, Louisville, KY 40201-0909 Ph: (502) 367-3360	Mr John W Burckle, PA-C 727 Hospital Dr, Shelbyville, KY 40065-1660 Ph: (502) 367-3360

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Physician Assistant Nurses in Shelbyville, KY

Mrs. Margaret Schmidt Endris, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 231 Midland Park, Shelbyville, KY 40065 Phone: 502-633-6040 Fax: 502-633-6992
Danielle Elizabeth O'dell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Mack Walters Rd, Shelbyville, KY 40065 Phone: 502-633-7337 Fax: 502-633-7338
Ms. Laura Elizabeth Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 Hospital Dr, Suite # 1, Shelbyville, KY 40065 Phone: 502-633-3525 Fax: 502-633-3825
Mrs. Francis Leonard, P.A.C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 615 Washington St, Shelbyville, KY 40065 Phone: 502-647-4668 Fax: 502-467-4615
Mr. Barry J Cleary, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 615 Washington St, Shelbyville, KY 40065 Phone: 502-647-4668
Renee G Ryan, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 Hospital Dr, Suite 1, Shelbyville, KY 40065 Phone: 502-633-3525 Fax: 502-633-3825

Mr John W Burckle, PA-C - Medicare Physician Assistant in Shelbyville, KY