Individual provider · Type 1 NPI

Tracy M. Bennett, P.A.-C

Physician Assistant · Bangor, ME

NPI number 1457560419 Active

Practice location

360 Broadway
Bangor, ME 04401-3900

Call (207) 907-3650 Map

Fax (207) 907-3660

Mailing address

C/ost Marys Health System - Provider Enrollment, PO Box 7291
Lewiston, ME 04243-7291

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA1097 (ME)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1457560419

Tracy M. Bennett, P.A.-C's National Provider Identifier is 1457560419, issued on May 22, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bangor, ME. The record was last updated on Feb 3, 2022.