Sarah N Bennett, PA-C
Individual provider Active NPI Medical Physician Assistant · Debary, FL
NPI 1174305692 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1174305692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA9118066 (FL)
- Practice address
- 2893 Enterprise Rd Ste 100
Debary, FL 32713-2784 - Phone
- (866) 400-3376
- Fax
- (386) 789-0219
- NPI assigned
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leavitt Medical Associates of Florida Inc
Practice addresses (Care Compare)
1410 W Broadway St
Suite 205
Oviedo, FL 32765-6472
Phone (407) 359-2100
1503 Buenos Aires Blvd
Suite 100
The Villages, FL 32159-6825
Phone (352) 753-2812
2893 Enterprise Rd
Suite 100
Debary, FL 32713-2784
Phone (386) 789-8600
2915 Lakeview Dr
Suite 2021
Fern Park, FL 32730-2056
Phone (407) 788-8900
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.42 of 100
- Quality
- 86.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.33
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.67 of 100
- Quality
- 80.78
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20231206002215 | FL | Practitioner - Physician Assistant | 4284083965 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Current |
Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current |
Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Past | Accepting new patients |
Locations
2893 Enterprise Rd
Ste 100
Debary, FL 32713
Phone 3867898600 ext. 38678
818 N Woodland Blvd
Deland, FL 32720
Phone (386) 738-8000
2915 Lakeview Dr
Ste 2021
Fern Park, FL 32730
Phone (407) 788-8900
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9118066 | FL | Yes |
Addresses
Primary practice location
2893 Enterprise Rd Ste 100
Debary, FL 32713-2784
Mailing address
151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (866) 400-3376
Other providers in Debary, FL
- Jaclyn Batts
- Janmary Beauchamp
- Behavior Analysis Support Services, Inc
- Paula Jean Belcher
- Jacklyn Iris Belenky
- Biped Medical
- Birth Mamas
- Samantha Rose Bosack
- Nancy Bourbonnais
- Seth James Bowden
All providers in Debary, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. 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.