Cherie Bennett, PA-C
Individual provider Active NPI Physician Assistant · Elgin, TX
NPI 1912964503 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1912964503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA01240 (TX)
- Practice address
- 711 W 10TH St
Elgin, TX 78621-2261 - Phone
- (512) 229-3334
- Fax
- (877) 662-9957
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01240 | TX | Yes |
Addresses
Primary practice location
711 W 10TH St
Elgin, TX 78621-2261
Mailing address
PO Box 1890
Gonzales, TX 78629-1390
Phone (830) 339-2093
Other providers in Elgin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 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.