Bethany Kate Robertson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12087 Issued in TX

Practice address

4504 Southridge Dr
Rowlett, TX 75088-5083

Phone

(214) 738-9394

NPI assigned

Jul 12, 2018

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

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Questcare Matrix PLLCGroup PAC ID 7719137397, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bethany.robertson.1@20728.direct.athenahealth.com

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.

• Questcare Matrix, PLLC

  • Emergency Medicine Physician
  • Grapevine, TX
  • NPI 1316295066
  Medicare reassignment Care Compare group
• Pai Participant 9 PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Elgin, TX
  • NPI 1679135420
  Medicare reassignment
• Questcare Matrix, PLLC

  • Emergency Medicine Physician
  • McKinney, TX
  • NPI 1740605492

  Physician Assistant

  NPD

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1356827430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 SOUTHRIDGE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885083",
            "telephone_number": "214-738-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 SOUTHRIDGE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885083",
            "telephone_number": "214-738-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "BETHANY",
        "middle_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Renee Richmond
• Melissa Fay Rivers, RN
• Melanie Stewart Rives, PHARM D
• RLS Supermarkets LLC (Minyard Pharmacy #91)
• Roberto Lopez, D.O. Internal Medicine Clinic,PA
• Mark Patrick Robinette, RPH
• Kirstyn Faith Robinson, RBT
• Olivia Robles
• Rocket Iom, PLLC
• Rockwall Neurology, PA

• Physician Assistant in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.