Edmund Abate III, PA-C
Individual provider Active NPI Surgical Physician Assistant · Celebration, FL
NPI 1205820206 · NPPES record last updated Aug 3, 2020
Key facts
- NPI
- 1205820206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA9101934 (FL)
- Practice address
- 410 Celebration PL Ste 200
Celebration, FL 34747-5432 - Phone
- (407) 303-4673
- Fax
- (407) 303-4674
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Medical Group Inc
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
400 Celebration PL
Celebration, FL 34747-4970
Hospital & facility affiliations
- Adventhealth Orlando
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20040528000090 | FL | Practitioner - Physician Assistant | 4880675404 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Florida Hospital Medical Group Inc | Physician Assistant | Current |
Accepting new patients |
| Southeastern Clinical Services,Inc. | Surgical | Past |
Accepting new patients |
Locations
410 Celebration Pl
Ste 200
Kissimmee, FL 34747
Phone (407) 303-4220
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- eabateiii74035@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101934 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9101934 | FL | Yes |
Addresses
Primary practice location
410 Celebration PL Ste 200
Celebration, FL 34747-5432
Mailing address
410 Celebration PL Ste 200
Celebration, FL 34747-5432
Phone (407) 303-4673
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U2338Y | Other | FL | MEDICARE PTAN - QSS SCS |
| HF826A | Other | FL | MEDICARE PTAN - GRP QSS SCS |
Other providers in Celebration, FL
- Joseph Michael Achtyl
- Valentina Acosta-Moreno
- Advanced Allergy & Asthma Specialist
- Advanced Gastroenterological Associates of Central Florida Inc
- Advanting Behavior Associates
All providers in Celebration, FL · Surgical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2020. 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.