Dr John H Burson Iii, MD is a medicare enrolled "Otolaryngology" physician in Villa Rica, Georgia. His current practice location is
705 Dallas Hwy, Suite 301, Villa Rica, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 459-0408.
Dr John H Burson Iii is licensed to practice in Georgia (license number 17779) 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 1588637144.
Physician's Profile
| Full Name | Dr John H Burson Iii |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 705 Dallas Hwy, Villa Rica, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588637144
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991614018
- Enrollment ID: I20060104000049
Medical Identifiers
Medical identifiers for Dr John H Burson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588637144 | NPI | - | NPPES |
| 00180672B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 17779 (Georgia) | 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. Dr John H Burson Iii allows following entities to bill medicare on his behalf.
| Entity Name | Emory Medical Care Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968 |
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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. Dr John H Burson Iii 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 |
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Dr John H Burson Iii, MD
705 Dallas Hwy, Suite 301,
Villa Rica, GA 30180-1247
Ph: (770) 459-0408 | Dr John H Burson Iii, MD
705 Dallas Hwy, Suite 301,
Villa Rica, GA 30180-1247
Ph: (770) 459-0408 |
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