Otis Benjamin Burnett Iv, MD is a medicare enrolled "Anesthesiology" physician in Williamston, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Chatham Hospital Inc and his current practice location is
310 South Mckaskey Rd, Williamston, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(638) 458-6345.
Otis Benjamin Burnett Iv is licensed to practice in North Carolina (license number 2013-00643) 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 1962662577.
Physician's Profile
Full Name | Otis Benjamin Burnett Iv |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 16 Years |
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Location | 310 South Mckaskey Rd, Williamston, North Carolina |
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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:
- Otis Benjamin Burnett Iv attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2008
NPI Data:
- NPI Number: 1962662577
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 08/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 2668616731
- Enrollment ID: I20130912000169
Medical Identifiers
Medical identifiers for Otis Benjamin Burnett Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962662577 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 2013-00643 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Chatham Hospital Inc | 4284807868 | 60 |
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. Otis Benjamin Burnett Iv allows following entities to bill medicare on his behalf.
Entity Name | East Carolina Anesthesia Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
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Entity Name | Chatham Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689967457 PECOS PAC ID: 4284807868 Enrollment ID: O20111026000545 |
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Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
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Entity Name | Midtown Raleigh Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710512314 PECOS PAC ID: 1759702178 Enrollment ID: O20200610001822 |
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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. Otis Benjamin Burnett Iv 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 |
Otis Benjamin Burnett Iv, MD 401 E Liberty St, Williamston, NC 27892-1834 Ph: (678) 458-6345 | Otis Benjamin Burnett Iv, MD 310 South Mckaskey Rd, Williamston, NC 27892 Ph: (638) 458-6345 |
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