WILLIAM R BURDEN MD - NPI 1417038704 - Specialist in Destin, FL

Q: What is William Burden's NPI number?

The NPI number for William Burden is 1417038704. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is William Burden's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is William Burden enrolled in Medicare?

No. William Burden has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for William Burden was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About William R Burden Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM R BURDEN MD (NPI 1417038704) is an individual specialist in Destin, Florida, licensed in Florida (ME64023) and active in the NPI registry since October 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417038704

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameWILLIAM R BURDENCredential: MD

Location Address4485 FURLING LNDestin, FL 32541-5331

Mailing Address4485 Furling LnDestin, FL 32541-5331 · (850) 654-1194 · Fax (850) 654-3380

Phone(850) 654-1194

Fax(850) 654-3380

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417038704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME64023

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4485 FURLING LN, Destin, FL 32541

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Other Identifiers 1

Medicare UPINE12186FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

William R Burden Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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