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

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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 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Old Dominion Anesthesia Llc, Smg Anesthesia Specialists 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 NameSamuel O Burt
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location1139 E High St Ste 203, Charlottesville, 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:
  • 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.
IdentifierTypeStateIssuer
1942715412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 240773 (Arizona)Secondary
367500000XNurse Anesthetist, Certified Registered 076895-21 (New Hampshire)Secondary
367500000XNurse Anesthetist, Certified Registered 0024190708 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Martha Jefferson HospitalCharlottesville, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Old Dominion Anesthesia Llc882046276557
Smg Anesthesia Specialists Llc6305081118501

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 NameSmg Anesthesia Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518205004
PECOS PAC ID: 6305081118
Enrollment ID: O20130327000494
Entity NameNorthstar Anesthesia of Virginia, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194488791
PECOS PAC ID: 6608268826
Enrollment ID: O20221205003063
Entity NameOld Dominion Anesthesia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Samuel O Burt, CRNA
7746 S 164th Dr,
Goodyear, AZ 85338-5836

Ph: Not Available		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

Jordan Emily Courtright, DNAP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-3627    
Brian Kolodziej, STUDENT
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
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: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-982-0609    
Lisa Dillon,
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-3627    
Dean C Weil, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Lee St, Charlottesville, VA 22908
Phone: 434-982-4228    
Ann Winer, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-0000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.