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Jill Anne Burden

Emergency Medicine

Allopathic & Osteopathic Physicians

1105 6th St, Traverse City, MI 49684-2349

PECOS Enrollment

This provider is enrolled in PECOS as JILL BURDEN.

Based on the most recent information from CMS, provider Jill Anne Burden is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1235383324
Provider Type
Individual
Full Name
Burden, Jill Anne
Credential
D.O.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/16/2008
Last Updated
12/16/2019

Contact Information

Practice Location

1105 6th St, Traverse City, MI 49684-2349

(231) 620-1867

Unlisted Fax

Mailing Location

215 S Elmwood Ave, Traverse City, MI 49684-2325

(231) 620-1867

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 5101018011 Michigan
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 036.122603 Illinois

Jill Anne Burden

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Han, Juhn Mark

Smith, Robert Lee

Williams, Bob M

Seguin, Colin

Hsu, James

Hemming, Mark Travis

Britton, William Ulmer

Traverse Observation Physician Services Pc

Ancel, Sally Ann

Ramseyer, Jacob Donald