Stephanie A. Burch, PA-C

Individual provider Active NPI Physician Assistant · S. Burlington, VT

NPI 1780650689 · NPPES record last updated Jan 12, 2017

Key facts

NPI
1780650689
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
055.0031322 (VT)
Practice address
6 San Remo Dr.
Uvm Medical Center, Dept. of Orthopedics/San Remo
S. Burlington, VT 05401
Phone
(802) 862-3983
Fax
(802) 863-7994
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Vermont Medical Center Inc (1,208 clinicians)

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

192 Tilley Dr
Orthopeadic
S Burlington, VT 05403-4440
Phone (802) 847-4690

Hospital & facility affiliations

  • Univ. of Vermont - Fletcher Allen Health Care Hospital · Burlington, VT · CCN 470003
  • Porter Hospital Inc Hospital · Middlebury, VT · CCN 471307

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170131000070 VT Practitioner - Physician Assistant 9133138381 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
055.0031322VTMDPhysician Assistant
MA052227PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc Current
since Dec 24, 2016
Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

6 San Remo Dr
South Burlington, VT 05403
Phone (802) 862-3983

192 Tilley Dr
South Burlington, VT 05403
Phone (802) 847-2663

Interoperability endpoints

  • Direct secure messaging: sburch147496@direct.uvmhealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 055.0031322 VT Yes
Medical Physician Assistant 363AM0700X MA052227 PA

Addresses

Primary practice location

6 San Remo Dr.
Uvm Medical Center, Dept. of Orthopedics/San Remo
S. Burlington, VT 05401

Mailing address

6 San Remo Dr.
Uvm Medical Center, Dept. of Orthopedics/San Remo
S. Burlington, VT 05401
Phone (802) 862-3983

Other identifiers

IdentifierTypeStateIssuer
MA052227OtherPALICENSE

Other names

  • Stephanie A. Weber Former name

Other providers in S. Burlington, VT

All providers in S. Burlington, VT · Physician Assistant in Vermont

Sources for this page

Verify at the official NPI Registry.