BETHANY JEAN GATES PA C NPI 1457347148

NPI Information

NPI: 1457347148
Provider Name: BETHANY JEAN GATES, PA C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: MAINEGENERAL MEDICAL CENTER

PECOS Registration: Yes

Address:
6 E CHESTNUT ST STE C-3
AUGUSTA, ME
ZIP 04330
Phone: (207) 626-1594
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Bethany Jean Gates, PA C is a medical physician assistant in Augusta, ME with 25 years of experience. Bethany Jean Gates, PA C NPI is 1457347148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6 E CHESTNUT ST STE C-3
AUGUSTA, ME
ZIP 04330-717
Phone: (207) 626-1594

The NPI 1457347148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 3/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		0110001499	VIRGINIA	No
2	363AM0700X	Physician Assistant	Medical	PA1330	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S90235	MEDICARE UPIN
2	010005175	MEDICAID	VIRGINIA
3	001004G72	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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