Look up the most recent NPI and PECOS records

Jeffrey Burgan

Anesthesiology

Allopathic & Osteopathic Physicians

(509) 474-3131 (509) 474-2072

PECOS Enrollment

Based on the most recent information from CMS, provider Jeffrey Burgan 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 4 days ago.

Profile Details

Provider ID
1821004789
Provider Type
Individual
Full Name
Burgan, Jeffrey
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/31/2006
Last Updated
4/1/2015

Contact Information

Practice Location

101 W 8th Ave, Spokane, WA 99204-2307

(509) 474-3131

Unlisted Fax

Mailing Location

PO Box 94645, Seattle, WA 98124-6945

(509) 474-2072

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 29675 Washington

Provider Identifiers

ID	Description	Issuer
ID 8145955	Description Medicaid	Issuer Unlisted Washington

Jeffrey Burgan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cambareri, John J

Poll, Milt G

Hestdalen, Rodney F

Miller, Gregory S

Thompson, Susan

Henderson, Matthew

Steinmetz, Mark

Tully, Brian William

Dudley, Ryan

Falter, Thomas Ryan