Dr Charles Ernest Burt, PHD | |
1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 | |
(703) 899-3290 | |
(703) 723-9404 |
Full Name | Dr Charles Ernest Burt |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 38 Years |
Location | 1800 Michael Faraday Dr Ste 206, Reston, Virginia |
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 |
---|---|---|---|
1043362197 | NPI | - | NPPES |
031200 | Other | VA | VALUE OPTIONS PROVIDER ID |
107617 | Other | VA | ANTHEM BXBS RESTON ADDR |
54-1848078 | Other | FEDERAL EMPLOYER ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810001508 (Virginia) | Primary |
Entity Name | Charles E. Burt, Ph.d. And Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518007640 PECOS PAC ID: 0648348532 Enrollment ID: O20081006000116 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Ernest Burt, PHD 22563 Forest Manor Dr, Ashburn, VA 20148-6900 Ph: (703) 899-3290 | Dr Charles Ernest Burt, PHD 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 Ph: (703) 899-3290 |
Dr. Rebecca Hardin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11703 Bowman Green Dr, Reston, VA 20190 Phone: 571-207-5867 Fax: 571-441-6025 | |
Dr. Christina C Downing, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Town Center Dr Ste 420, Reston, VA 20190 Phone: 301-284-8586 | |
Dr. Linda Rose Goglia, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 11333 Sunset Hills Road, Linda R Goglia Phd, Reston, VA 20190 Phone: 703-620-9052 Fax: 703-464-0507 | |
Dr. Lisa Lilenfeld, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Michael Faraday Dr, Suite 206, Reston, VA 20190 Phone: 703-526-5878 Fax: 703-243-8973 | |
Dr. Edward David Farber, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Town Center Dr, #411, Reston, VA 20190 Phone: 703-437-3236 Fax: 703-435-7422 | |
Dr. Chiara Simeone-difrancesco, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11160c1 S Lakes Dr, #182, Reston, VA 20191 Phone: 703-479-1788 |