Individual provider Active NPI

Bethany Jean Gates, PA C

  • Medical Physician Assistant
  • Augusta, ME
National Provider Identifier
1457347148
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1330 Issued in ME
Practice address
6 E Chestnut St Ste C-3
Augusta, ME 04330-5717
Phone
(207) 626-1594
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001499 VA
Medical Physician Assistant 363AM0700X PA1330 ME Primary

Addresses

Primary practice location

6 E Chestnut St Ste C-3
Augusta, ME 04330-5717

Mailing address

6 E Chestnut St Ste C-3
Augusta, ME 04330-5717
Phone (804) 285-4465

Other identifiers 1

IdentifierTypeStateIssuer
010005175MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20071015000420 ME Practitioner - Physician Assistant 4688760119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

10 Water St
Suite 202
Waterville, ME 04901-4539

10 Water St
Suite 202
Waterville, ME 04901-6565

15 Enterprise Dr
Augusta, ME 04330-7997
Phone (207) 621-8700

325 B Kennedy Memorial Dr
Waterville, ME 04901-4562
Phone (207) 873-6173

442 Civic Ctr Dr
Augusta, ME 04330-8572
Phone (207) 622-6319

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001499VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Apr 19, 2014 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 19, 2014 Accepting new patients
Gastrointestinal Specialists LLC Physician Assistant Past Accepting new patients
Woodholme Gastroenterology Assoc PA Past Accepting new patients
Endocentre at Quarterfield Station Past Accepting new patients
Kennebec Gastrointestinal Assoc. Past Accepting new patients
Mainegeneral Medical Center Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

6 E Chestnut St
Ste C3
Augusta, ME 04330
Phone (207) 621-1150

150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337

10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: bethanygates@mgh.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1457347148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E CHESTNUT ST STE C-3",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305717",
            "telephone_number": "804-285-4465",
            "fax_number": "804-285-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E CHESTNUT ST STE C-3",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305717",
            "telephone_number": "207-626-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "BETHANY",
        "middle_name": "JEAN",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001499",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010005175",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.