Dr Edward C Burnetta, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Villanova, Pennsylvania. His current practice location is
2075 County Line Rd, Villanova, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 642-1413.
Dr Edward C Burnetta is licensed to practice in Pennsylvania (license number MD059218L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689696486.
Physician's Profile
| Full Name | Dr Edward C Burnetta |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2075 County Line Rd, Villanova, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689696486
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 07/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810980638
- Enrollment ID: I20040407000479
Medical Identifiers
Medical identifiers for Dr Edward C Burnetta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689696486 | NPI | - | NPPES |
| 0073081140001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | MD059218L (Pennsylvania) | Primary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MD-059218-L (Pennsylvania) | Secondary |
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 Edward C Burnetta allows following entities to bill medicare on his behalf.
| Entity Name | Edward Burnetta Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780717546 PECOS PAC ID: 2668576265 Enrollment ID: O20070409000088 |
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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. Dr Edward C Burnetta 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 |
Dr Edward C Burnetta, MD 2075 County Line Rd, Villanova, PA 19085-1732 Ph: (610) 642-1413 | Dr Edward C Burnetta, MD 2075 County Line Rd, Villanova, PA 19085-1732 Ph: (610) 642-1413 |
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