Samuel O Burt, CRNA in Charlottesville, VA - Medicare Certified Registered Nurse Anesthetist (crna)

Samuel O Burt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlottesville, Virginia. He went to Florida State University College Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Smg Anesthesia Specialists Llc, Old Dominion Anesthesia Llc and his current practice location is 1139 E High St Ste 203, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 817-8484.

Samuel O Burt is licensed to practice in Virginia (license number 0024190708) 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 1942715412.

Contact Information

	Samuel O Burt, CRNA
	1139 E High St Ste 203, Charlottesville, VA 22902-4849
	(434) 817-8484
	(434) 817-8490

Map and Direction

Provider's Profile

Full Name	Samuel O Burt
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	1139 E High St Ste 203, Charlottesville, 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.

Medical Education and Training:

Samuel O Burt attended and graduated from Florida State University College Of Medicine in 2017

NPI Data:

NPI Number: 1942715412
Provider Enumeration Date: 12/06/2017
Last Update Date: 04/25/2025

Medicare PECOS Information:

PECOS PAC ID: 2163785080
Enrollment ID: I20241127002608

Medical Identifiers

Medical identifiers for Samuel O Burt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942715412	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	240773 (Arizona)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	076895-21 (New Hampshire)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024190708 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Smg Anesthesia Specialists Llc	6305081118	235
Old Dominion Anesthesia Llc	8820462765	47

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. Samuel O Burt allows following entities to bill medicare on his behalf.

Entity Name	Smg Anesthesia Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494

Entity Name	Northstar Anesthesia Of Virginia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063

Entity Name	Old Dominion Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902248677 PECOS PAC ID: 8820462765 Enrollment ID: O20230316001226

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. Samuel O 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 Address	Practice Location Address
Samuel O Burt, CRNA 7746 S 164th Dr, Goodyear, AZ 85338-5836 Ph: () -	Samuel O Burt, CRNA 1139 E High St Ste 203, Charlottesville, VA 22902-4849 Ph: (434) 817-8484

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charlottesville, VA

Brian Kolodziej, STUDENT Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Po Box 800634, Charlottesville, VA 22908 Phone: 434-924-3627
Jainy John, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-0211
Brad Williams, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-982-0609
Ann Winer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-0000
Wenzhao Zhang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9055
Judith K Benes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Lee St, Charlottesville, VA 22908 Phone: 434-924-0000
Mr. Gary F Cuccia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1221 Lee St., Charlottesville, VA 22908 Phone: 434-982-0117

Samuel O Burt, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Charlottesville, VA