Kelly Douglas Burchett, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Kirksville, Missouri. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1999 and has 25 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Hannibal Regional Healthcare System Inc and his current practice location is
1605 South Baltomore, Suite B, Kirksville, Missouri. You can reach out to his office (for appointments etc.) via phone at
(660) 665-3599.
Kelly Douglas Burchett is licensed to practice in Missouri (license number 2001010344) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629161864.
Physician's Profile
Full Name | Kelly Douglas Burchett |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 25 Years |
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Location | 1605 South Baltomore, Kirksville, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelly Douglas Burchett attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1999
NPI Data:
- NPI Number: 1629161864
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 09/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 0345272837
- Enrollment ID: I20050906000715
Medical Identifiers
Medical identifiers for Kelly Douglas Burchett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629161864 | NPI | - | NPPES |
207392200 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 2001010344 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hannibal Regional Healthcare System Inc | 1254236300 | 205 |
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. Kelly Douglas Burchett allows following entities to bill medicare on his behalf.
Entity Name | Kirksville Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538155817 PECOS PAC ID: 4486619269 Enrollment ID: O20041122000018 |
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Entity Name | Hannibal Regional Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134311392 PECOS PAC ID: 1254236300 Enrollment ID: O20071004000422 |
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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. Kelly Douglas Burchett 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 |
Kelly Douglas Burchett, DO 1605 South Baltimore, Suite B, Kirksville, MO 63501 Ph: (660) 665-3599 | Kelly Douglas Burchett, DO 1605 South Baltomore, Suite B, Kirksville, MO 63501 Ph: (660) 665-3599 |
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