Angelica Ybanez Bennett, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02949 Issued in TX

Practice address

3051 Churchill Dr
Suite 130
Flower Mound, TX 75022-2713

Phone

(972) 539-0086

Fax

(972) 355-9680

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Texas Southwestern Medical School at Dallas, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faac PAGroup PAC ID 0840264032, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Faac, PA

  • Allergy Physician
  • Flower Mound, TX
  • NPI 1730290099
  Medicare reassignment Care Compare group
• Kma Radiology, PA

  • Body Imaging Physician
  • Dallas, TX
  • NPI 1831201888
  NPD (past)
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1174647259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR",
            "address_2": "SUITE 130",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222713",
            "telephone_number": "972-539-0086",
            "fax_number": "972-355-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR",
            "address_2": "SUITE 130",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222713",
            "telephone_number": "972-539-0086",
            "fax_number": "972-355-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YBANEZ BENNETT",
        "first_name": "ANGELICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Emerson Wyatt Jr., D.D.S.
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• Christine Yap, PA-C
• Timur Yasin, M.D.
• Julia Alexandra Yeager
• Laura Alice Yeatts, DPT
• Amir A Yeganehjoo, D.C.
• Yl SLP LLC
• Yong C Song DDS PA

• Physician Assistant in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.