Dr Bradley Robert Burnett, DDS - Medicare in Joplin, MO

Dr Bradley Robert Burnett, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Joplin, Missouri. His current practice location is 620 West 32nd St, Suite A, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 621-0500.

Dr Bradley Robert Burnett is licensed to practice in Missouri (license number 2005005794) 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 1174683254.

Contact Information

Dr Bradley Robert Burnett, DDS
620 West 32nd St, Suite A,
Joplin, MO 64804-1623
(417) 621-0500
(417) 781-5809



Healthcare Provider's Profile

Full NameDr Bradley Robert Burnett
GenderMale
SpecialityOral & Maxillofacial Surgery
Location620 West 32nd St, Joplin, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174683254
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 07/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355431776
  • Enrollment ID: I20080213000220

Medical Identifiers

Medical identifiers for Dr Bradley Robert Burnett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174683254NPI-NPPES
1763846OtherUNITED CONCORDIA NON-PAR
200505794OtherMOCIGNA DENTAL PAR
1700470970OtherMOCONNECTION DENTAL NETWORK
005005794OtherMODELTA DENTAL PROVIDER #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 2005005794 (Missouri)Secondary
2082S0099XPlastic Surgery - Plastic Surgery Within The Head And Neck 2005005794 (Missouri)Secondary
204E00000XOral & Maxillofacial Surgery 2005005794 (Missouri)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 Bradley Robert Burnett allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Joplin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215264817
PECOS PAC ID: 0547300196
Enrollment ID: O20091218000092

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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 Bradley Robert Burnett 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 Bradley Robert Burnett, DDS
620 W 32nd St,
Joplin, MO 64804-2549

Ph: (417) 621-0500
Dr Bradley Robert Burnett, DDS
620 West 32nd St, Suite A,
Joplin, MO 64804-1623

Ph: (417) 621-0500

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