Marlon G Burt, OD | |
93 Constitution Blvd, Kutztown, PA 19530-1724 | |
(610) 683-3888 | |
(610) 683-3083 |
Full Name | Marlon G Burt |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 26 Years |
Location | 93 Constitution Blvd, Kutztown, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871584144 | NPI | - | NPPES |
1232505 | Other | CIGNA | |
250197 | Other | HEALTH ASSURANCE | |
50041186 | Other | CAPITOL BLUE | |
BU904393 | Other | BLUE S |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG001552 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Eye Group, P.c. | 2466434717 | 12 |
Provider Name | Coastal Eye Group, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477663706 PECOS PAC ID: 2466434717 Enrollment ID: O20040602000418 |
Provider Name | Coastal Eye Group, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821142266 PECOS PAC ID: 2466434717 Enrollment ID: O20040602000514 |
Provider Name | Coastal Eye Group, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821142720 PECOS PAC ID: 2466434717 Enrollment ID: O20041210000633 |
Mailing Address | Practice Location Address |
---|---|
Marlon G Burt, OD 93 Constitution Blvd, Kutztown, PA 19530-1724 Ph: (610) 683-3888 | Marlon G Burt, OD 93 Constitution Blvd, Kutztown, PA 19530-1724 Ph: (610) 683-3888 |
Dr Marlon Burt Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 126 W Main St, Kutztown, PA 19530 Phone: 610-683-3888 Fax: 610-683-3083 | |
Andrew Larson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 93 Constitution Blvd, Kutztown, PA 19530 Phone: 610-683-3888 Fax: 610-683-3083 |