Michelle Bendah
Individual provider Active NPI Physician Assistant · Henderson, NV
NPI 1396561023 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1396561023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 874 American Pacific Dr
Henderson, NV 89014-8800 - Phone
- (925) 785-2885
- NPI assigned
- Nov 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- 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 |
|---|---|---|---|---|
| I20250507003377 | NV | Order and Referring Only - Physician Assistant | 0840717385 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
874 American Pacific Dr
Henderson, NV 89014-8800
Mailing address
874 American Pacific Dr
Henderson, NV 89014-8800
Phone (925) 785-2885
Other providers in Henderson, NV
- Teri Belmont
- Kason Belnap
- Lalydia Belone
- Emily Kay Beltran
- Garet Angelou Benavides
- Michele M Benedict
- Sukhjot Benipal
- Grecia Damaru Benitez Cruz
- Catrina Benitez
- Benjamin Glick DMD PC
All providers in Henderson, NV · Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.