- Practice location
- 360 Broadway, Bangor, ME 04401-3900
- Phone
- 207-907-3650
- Fax
- 207-907-3660
- Last updated
- February 3, 2022
Tracy M Bennett is a Physician Assistant based in Bangor, ME. Tracy M Bennett practices in Bangor, ME and has the professional credentials of PA-C. The NPI Number for Tracy M Bennett is 1457560419 and holds a License No. PA1097 (ME). The current practice location address for Tracy M Bennett is 360 Broadway, Bangor, ME 04401-3900 and can be reached out via phone at 207-907-3650 and via fax at 207-907-3660.
Provider Profile Details
- NPI Number
- 1457560419
- Provider Name
- Tracy M Bennett
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 360 Broadway, Bangor, ME 04401-3900
- Phone Number
- 207-907-3650
- Fax Number
- 207-907-3660
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 22, 2007
- Last Update Date
- February 3, 2022
- Certification Date
- February 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 Broadway
Bangor, ME 04401-3900 - City
- Bangor
- State
- Maine
- Zip
- 04401-3900
- Phone Number
- 207-907-3650
- Fax Number
- 207-907-3660
Provider Business Mailing Address Details
- Address
- C/Ost Marys Health System - Provider Enrollment
Po Box 7291
Lewiston, ME 04243-7291 - City
- Lewiston
- State
- ME
- Zip
- 04243-7291
- Phone Number
- 207-777-8560
- Fax Number
- 207-777-8800
License Information
- License Number
- PA1097
- License State
- ME
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Bangor, ME
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Frequently Asked Questions
What is the NPI number of Ms. Tracy M Bennett, PA-C?
The NPI number of Ms. Tracy M Bennett, PA-C is 1457560419. It was assigned on May 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Tracy M Bennett, PA-C?
Ms. Tracy M Bennett, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1097.
Where does Ms. Tracy M Bennett, PA-C practice?
The practice location is 360 Broadway, Bangor, ME 04401-3900. The office can be reached at 207-907-3650 (phone) or 207-907-3660 (fax).
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 1457560419 directly on the NPPES registry website.