Active NPIIndividual provider

Bethany J Gates, PA C

Physician Assistant, Medical in Augusta, Maine

NPI Number1457347148
Practice location
6 E Chestnut St Ste C-3, Augusta, ME 04330-5717
Fax
—
Last updated
March 1, 2013

Bethany Jean Gates is a Physician Assistant, Medical based in Augusta, ME. Bethany Jean Gates practices in Augusta, ME and has the professional credentials of PA C. The NPI Number for Bethany Jean Gates is 1457347148 and holds a License No. 0110001499 (VA). The current practice location address for Bethany Jean Gates is 6 E Chestnut St Ste C-3, Augusta, ME 04330-5717 and can be reached out via phone at 207-626-1594.

Provider Profile Details

NPI Number
1457347148
Provider Name
Bethany Jean Gates
Credential
PA C
Provider Entity Type
Individual
Gender
Female
Address
6 E Chestnut St Ste C-3, Augusta, ME 04330-5717
Phone Number
207-626-1594
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
September 27, 2005
Last Update Date
March 1, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 E Chestnut St Ste C-3
Augusta, ME 04330-5717
State
Maine
Zip
04330-5717
Phone Number
207-626-1594
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
6 E Chestnut St Ste C-3
Augusta, ME 04330-5717
City
Augusta
State
ME
Zip
04330-5717
Phone Number
804-285-4465
Fax Number
804-285-8332

License Information

License Number (1)
0110001499
License State (1)
VA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA1330
License State (2)
ME
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bethany J Gates, PA C?

The NPI number of Bethany J Gates, PA C is 1457347148. It was assigned on September 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Bethany J Gates, PA C?

Bethany J Gates, PA C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VA under license number 0110001499.

Where does Bethany J Gates, PA C practice?

The practice location is 6 E Chestnut St Ste C-3, Augusta, ME 04330-5717. The office can be reached at 207-626-1594 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457347148 directly on the NPPES registry website.

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