Timothy R Benac, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9953 Issued in MN

Practice address

7870W US Highway 2
Manistique, MI 49854-8992

Phone

(906) 341-1876

NPI assigned

Feb 8, 2006

Last updated

Mar 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, MI2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munising Memorial Hospital AssociationGroup PAC ID 9830170372, shared by 3 NPIs, 14 clinicians

Pipestone County Medical CenterGroup PAC ID 0840109682, shared by 6 NPIs, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pipestone County Medical Center Hospital, Pipestone, MN, CCN 241374
• Munising Memorial Hospital Hospital, Munising, MI, CCN 231308
• Hendricks Community Hospital Hospital, Hendricks, MN, CCN 241339
• Pipestone County Medical Center Nursing home, CCN 24Z374

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbenac128299@mymichiganhealth.midirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1447300587
  Medicare reassignment NPD
• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1598751240
  Medicare reassignment NPD
• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Hospital

  • Critical Access Hospital
  • Iron River, MI
  • NPI 1497750830
  Medicare reassignment
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Family Medicine Physician
  • Ironwood, MI
  • NPI 1992704753
  Medicare reassignment
• Schoolcraft Memorial Hospital

  • Critical Access Hospital
  • Manistique, MI
  • NPI 1700805157
  Medicare reassignment
• Lakewood Health Center

  dba CHI Lakewood Health

  • Critical Access Hospital
  • Baudette, MN
  • NPI 1922072776
  Medicare reassignment
• Lakewood Health Center

  dba CHI Lakewood Health

  • Clinic/Center
  • Baudette, MN
  • NPI 1972799237
  Medicare reassignment
• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Clinic

  • Rural Health Clinic/Center
  • Iron River, MI
  • NPI 1306344783
  NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  dba Aspirus Palliative Medicine - Michigan

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ironwood, MI
  • NPI 1609743590
  NPD
• Schoolcraft Memorial Hospital

  dba Schoolcraft Memorial Hospital Rural Health Clinic Naubinway

  • Rural Health Clinic/Center
  • Naubinway, MI
  • NPI 1881254605
  NPD
• Pipestone County Medical Center

  dba Pipestone Family Clinic

  • Family Medicine Physician
  • Pipestone, MN
  • NPI 1073576906
  NPD
• Helen Newberry Joy Hospital & Healthcare Center

  dba Paradise Community Health Center

  • Rural Health Clinic/Center
  • Paradise, MI
  • NPI 1811044886
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munising Memorial Hospital Association

  dba Munising Memorial Hospital

  • Critical Access Hospital
  • Munising, MI
  • NPI 1417035536
  Care Compare affiliation
• Hendricks Community Hospital Assn & Retirement Home

  • Critical Access Hospital
  • Hendricks, MN
  • NPI 1316026370
  Care Compare affiliation
• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1124014881

  Nursing home

  Care Compare affiliation
• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1598751240
  Care Compare affiliation

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1790758076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870W US HIGHWAY 2",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498548992",
            "telephone_number": "906-341-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870W US HIGHWAY 2",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498548992",
            "telephone_number": "906-341-1876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Sandpoint Rd",
            "address_purpose": "LOCATION",
            "city": "Munising",
            "state": "MI",
            "postal_code": "498621406",
            "country_code": "US",
            "telephone_number": "906-387-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAC",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160186500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Jean Arnold
• Katelyn Rose Arnold
• Shelly D Baker, OD
• Gregory A. Bambach, M.D.
• Brenda Lea Barber, FNP
• Jo-Nell Berger, REGISTERED NURSE
• Jessica J Bernard, BSW
• Jesselyn Bourque
• Kourtney Bria Bradley, PHARM.D.
• Kathleen Andie Bradshaw, FNP

• Physician Assistant in Manistique, MI
• Providers in Manistique, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.