Dr Charles Ernest Burt, PHD - Medicare Psychologist in Reston, VA

Dr Charles Ernest Burt, PHD is a medicare enrolled "Psychologist - Clinical" provider in Reston, Virginia. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 1800 Michael Faraday Dr Ste 206, Reston, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 899-3290.

Dr Charles Ernest Burt is licensed to practice in Virginia (license number 0810001508) 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 1043362197.

Contact Information

Dr Charles Ernest Burt, PHD
1800 Michael Faraday Dr Ste 206,
Reston, VA 20190-5312
(703) 899-3290
(703) 723-9404

Map and Direction




Healthcare Provider's Profile

Full NameDr Charles Ernest Burt
GenderMale
SpecialityClinical Psychologist
Experience38 Years
Location1800 Michael Faraday Dr Ste 206, Reston, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Charles Ernest Burt graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1043362197
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 02/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0042388050
  • Enrollment ID: I20081003000593

Medical Identifiers

Medical identifiers for Dr Charles Ernest Burt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043362197NPI-NPPES
031200OtherVAVALUE OPTIONS PROVIDER ID
107617OtherVAANTHEM BXBS RESTON ADDR
54-1848078OtherFEDERAL EMPLOYER ID #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810001508 (Virginia)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 Charles Ernest Burt allows following entities to bill medicare on his behalf.
Entity NameCharles E. Burt, Ph.d. And Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518007640
PECOS PAC ID: 0648348532
Enrollment ID: O20081006000116

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 Charles Ernest Burt 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 AddressPractice 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

Reviews and Comments


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