Amber Jo Buntin, PA-C
Individual provider Active NPI Physician Assistant · Ruskin, FL
NPI 1881999043 · NPPES record last updated Dec 17, 2021
Key facts
- NPI
- 1881999043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 10029 Celtic Ash Dr
Ruskin, FL 33573-6730 - Phone
- (731) 695-7001
- NPI assigned
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Medicine Services of FL, LLC
Practice addresses (Care Compare)
340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000
9330
54 Medical Center of Trinity
Trinity, FL 34655-1808
Phone (727) 845-9115
Hospital & facility affiliations
- HCA Florida Trinity Hospital
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 |
|---|---|---|---|---|
| I20160707002609 | FL | Practitioner - Physician Assistant | 0143450486 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
10029 Celtic Ash Dr
Ruskin, FL 33573-6730
Mailing address
19727 Stallion Dr
Waynesville, MO 65583-2139
Phone (731) 695-7001
Other names
- Amber Jo Bobbe
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amber.buntin@hotmail.com |
Other providers in Ruskin, FL
- Leila Brunner
- SH'Terrian Bryant
- Buddies of Abilities LLC
- Building Horizons LLC
- Nataliya Bukavyn
- Anisley Burgos
- Yanique Burke
- Galina Grib Burns
- Butterfly Love & Labs, LLC
- Mark Byrd
All providers in Ruskin, FL · 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 Dec 17, 2021. 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.