Bethany Ann Abernethy, PA
Individual provider Active NPI Physician Assistant · Cincinnati, OH
NPI 1235566548 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1235566548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50.007581RX (OH)
- Practice address
- 3333 Burnet Ave ML 9016
Cincinnati, OH 45229 - Phone
- (513) 803-8092
- Fax
- (513) 803-9245
- NPI assigned
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.97 of 100
- Quality
- 79.68
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20231107003197 | OH | Practitioner - Physician Assistant | 5193951762 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-04536 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Physician Assistant | Current |
Accepting new patients |
| Mema SC LLC | Past |
Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
3333 Burnet Ave
#9016
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-04536 | NC | |
| Physician Assistant | 363A00000X | 50.007581RX | OH | Yes |
Addresses
Primary practice location
3333 Burnet Ave ML 9016
Cincinnati, OH 45229
Mailing address
3333 Burnet Ave ML 9016
Cincinnati, OH 45229
Phone (513) 803-8092
Other practice location 1
501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone (704) 377-2424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235566548 | Medicaid | NC |
Other names
- Bethany Ann Cottings
Other providers in Cincinnati, OH
- Courtney L Abel
- Julie Abel
- Amy E Abell-Scobey
- Kimberly Lenise Abernathy
- Traci Ann Abernathy
- Yamuna Abhayawardhane
- Abie Cares 4 U LLC
- Abie Cares 4 U LLC
- Abie Cares 4 U LLC
- Abie Cares 4 U LLC
All providers in Cincinnati, OH · Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. 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.