Timothy J Burton, APRN - Medicare Nurse Practitioner in Lexington, KY

Timothy J Burton, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Lexington, Kentucky. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Somc Medical Care Foundation, Inc. and his current practice location is 800 Rose St, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 323-5956.

Timothy J Burton is licensed to practice in Kentucky (license number 3015328) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053919779.

Contact Information

Timothy J Burton, APRN
800 Rose St,
Lexington, KY 40536-2686
(859) 323-5956
(859) 323-1080

Map and Direction




Provider's Profile

Full NameTimothy J Burton
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location800 Rose St, Lexington, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy J Burton graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1053919779
  • Provider Enumeration Date: 10/14/2020
  • Last Update Date: 02/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799196465
  • Enrollment ID: I20230731000840

Medical Identifiers

Medical identifiers for Timothy J Burton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053919779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN.CNP.0033984 (Ohio)Secondary
363LA2100XNurse Practitioner - Acute Care 3015328 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Ohio Medical CenterPortsmouth, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Somc Medical Care Foundation, Inc.9436061645215

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Timothy J Burton allows following entities to bill medicare on his behalf.
Entity NameSomc Medical Care Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457467227
PECOS PAC ID: 9436061645
Enrollment ID: O20031125000203

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy J Burton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Timothy J Burton, APRN
1735 27th St Ste B06,
Portsmouth, OH 45662-2681

Ph: (740) 356-8681
Timothy J Burton, APRN
800 Rose St,
Lexington, KY 40536-2686

Ph: (859) 323-5956

Reviews and Comments


Nurse Practitioner Nurses in Lexington, KY

Mrs. Amy Lauran Burnett, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 740 Rose St, Wing D, 4th Floor, Lexington, KY 40536
Phone: 859-323-5643    
Ms. Yvonne P Rice, APRN NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 800 Rose St, Lexington, KY 40536
Phone: 859-218-1779    
Jasmine Howard, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 800 Rose St, Mn604, Lexington, KY 40536
Phone: 859-323-6047    Fax: 859-257-3873
Leah Ray Yeager, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 800 Rose St, Cc417, Lexington, KY 40536
Phone: 859-257-1223    Fax: 859-323-2749
Anna Kelly Hardin,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 830 South Limestone, Lexington, KY 40536
Phone: 859-323-2778    
Malissa Claudette Contreras, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3301 Leestown Rd, Lexington, KY 40511
Phone: 859-255-6812    
Miranda Hagan, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1018 E New Circle Rd Ste 205, Lexington, KY 40505
Phone: 859-303-5918    Fax: 859-303-5918

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.