Troy Burbank, PA-C
Individual provider Active NPI Medical Physician Assistant · Bell, FL
NPI 1891389672 · NPPES record last updated Feb 23, 2021
Key facts
- NPI
- 1891389672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA9113966 (FL)
- Practice address
- 1830 N Main St
Bell, FL 32619-4713 - Phone
- (352) 463-1100
- NPI assigned
- Feb 23, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Clinical Practice Association Inc
Practice addresses (Care Compare)
1600 SW Archer
Gainesville, FL 32610-3003
1600 SW Archer Rd
Gainesville, FL 32610-3003
1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535
2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250
2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990
Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161
Hospital & facility affiliations
- Uf Health Shands 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 |
|---|---|---|---|---|
| I20210308000519 | FL | Practitioner - Physician Assistant | 8426464074 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113966 | FL | MD | Medical Physician Assistant |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trenton Medical Center, Inc | Current |
Accepting new patients | |
| Florida Clinical Practice Association Inc | Current |
Accepting new patients | |
| Florida Clinical Practice Association Inc | Current |
Accepting new patients | |
| Trenton Medical Center, Inc. | Current |
Accepting new patients |
Locations
1830 N Main St
Bell, FL 32619
Phone (352) 463-1100
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020
911 S Main St
Trenton, FL 32693
Phone (352) 463-2374
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- tburbank640116@direct.shands.ufl.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9113966 | FL | Yes |
Addresses
Primary practice location
1830 N Main St
Bell, FL 32619-4713
Mailing address
2820 George Wheeler Rd
Lakeland, FL 33810-0630
Phone (863) 397-3220
Other providers in Bell, FL
- Jody Lynne Arnstein
- Jennifer Barber
- Tyler Phillip Burns
- County of Gilchrist Board of Co Commissioners
- Laura Lee Cribbs
- Crystal Breeze Cullen
- Grace Dunn
All providers in Bell, FL · Medical 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 Feb 23, 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.