Alicia E Benitez, PA-C
Individual provider Active NPI Medical Physician Assistant · Frisco, CO
NPI 1750864773 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1750864773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA.0005563 (CO)
- Practice address
- 68 School Rd
Ste 200
Frisco, CO 80443-0000 - Phone
- (970) 668-2510
- Fax
- (970) 668-2511
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mile High Urgent Care PLLC
Practice addresses (Care Compare)
5102 S Broadway
Englewood, CO 80113-6706
Phone (720) 457-9100
901 W Hampden Ave
Unit 103
Englewood, CO 80110-7330
Phone (303) 761-1699
9985 W Remington PL
Littleton, CO 80128-9283
Phone (720) 818-8010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, FL
- 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 |
|---|---|---|---|---|
| I20210929003219 | CO | Practitioner - Physician Assistant | 6507292885 | Reassigns benefits to 2 organizations |
| I20240509000437 | FL | Practitioner - Physician Assistant | 6507292885 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA55972 | CA | MD | Physician Assistant |
| 0010-09673 | NC | MD | Physician Assistant |
| PA.0005563 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of Florida PA | Current |
Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current |
Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current |
Accepting new patients | |
| Colorado Urgent Care Physicians, PC | Current |
Accepting new patients |
Locations
2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212
901 W Hampden Ave
Unit 103
Englewood, CO 80110
Phone (303) 761-1699
5102 S Broadway
Englewood, CO 80113
Phone (720) 457-9100
9985 W Remington Pl
Littleton, CO 80128
Phone (720) 818-8010
9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600
4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291
915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA55972 | CA | |
| Medical Physician Assistant | 363AM0700X | PA.0005563 | CO | Yes |
| Physician Assistant | 363A00000X | 0010-09673 | NC |
Addresses
Primary practice location
68 School Rd
Ste 200
Frisco, CO 80443-0000
Mailing address
12476 SW 1St St
Coral Springs, FL 33071-8060
Phone (954) 600-4113
Other providers in Frisco, CO
- Tessa M. Beal
- Rachel Elizabeth Becker
- Michael E Begg
- Gary Eugene Benedetti
- Kimberly Ann Benedict
- James F Bernlohr
- Zhihui Bi
- David Bigelow
- David D Biggs
- Katherine Birch
All providers in Frisco, CO · Medical Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 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).
- 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.