Matthew Burns, PA-C
Individual provider Active NPI Physician Assistant · Weatogue, CT
NPI 1194240838 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1194240838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 4025 (CT)
- Practice address
- 75 Old Meadow Plain Rd
Weatogue, CT 06089-9771 - Phone
- (860) 268-2497
- NPI assigned
- Aug 3, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Hospital
Practice addresses (Care Compare)
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500
Hospital & facility affiliations
- Hartford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180315001747 | CT | Practitioner - Physician Assistant | 2567724339 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Interoperability endpoints
- ms_mburns52@landmarkhealth-direct.org
- matthew.burns@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4025 | CT | Yes |
Addresses
Primary practice location
75 Old Meadow Plain Rd
Weatogue, CT 06089-9771
Mailing address
75 Old Meadow Plain Rd
Weatogue, CT 06089-9771
Phone (860) 268-2497
Other providers in Weatogue, CT
- Richard H Bason
- Sophia Diana Beason-Brown
- Kim Lee Bergeron-Duncan
- Bethel Health Management Associates, Inc.
- Marc Bonaguide
- Matthew Chere
- Fletcher Comment
- Karen Maria Corriveau
- Tricia Rose Cummings
- D&M Health and Aesthetics PLLC
All providers in Weatogue, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.