Christie Bentz, PA-C
Individual provider Active NPI Surgical Physician Assistant · Juneau, AK
NPI 1003285222 · NPPES record last updated Sep 17, 2015
Key facts
- NPI
- 1003285222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 102586 (AK)
- Practice address
- 3027 Mountainwood Cir
Juneau, AK 99801-9624 - Phone
- (802) 558-6758
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bartlett Regional Hospital
Practice addresses (Care Compare)
3260 Hospital Dr
Juneau, AK 99801-7808
3268 Hospital Dr
Suite a
Juneau, AK 99801-7800
Phone (907) 796-8713
Hospital & facility affiliations
- Bartlett Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151109000294 | AK | Practitioner - Physician Assistant | 7416267158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102586 | AK | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Dermatology, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHEABD
- https://fhir4.healow.com/fhir/r4/DHEABD/Endpoint/DHEABD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 102586 | AK | Yes |
Addresses
Primary practice location
3027 Mountainwood Cir
Juneau, AK 99801-9624
Mailing address
3027 Mountainwood Cir
Juneau, AK 99801-9624
Phone (802) 558-6758
Other providers in Juneau, AK
- Ashley Bennett
- Denise Bennett
- Leah Bennett
- Michael J Bennett
- Nannette Bennett
- Stephen Berger
- Tristan Berkey
- Mona Bibb
- Bicknell Inc
- Birdland Ak LLC
All providers in Juneau, AK · Surgical Physician Assistant in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.