Individual provider Active NPI

Zelda Marie Bennett, PA-C

  • Medical Physician Assistant
  • Takoma Park, MD
National Provider Identifier
1982876868
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C002404 Issued in MD
Practice address
7676 New Hampshire Ave
Suite 420
Takoma Park, MD 20912-7512
Phone
(301) 433-9147
Fax
(301) 434-9178
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C002404 MD Primary

Addresses

Primary practice location

7676 New Hampshire Ave
Suite 420
Takoma Park, MD 20912-7512

Mailing address

2818 Viceroy Ave
District Heights, MD 20747-3213
Phone (240) 838-3714

Other practice location 1

9000 Woodyard Rd
Clinton, MD 20735-4206
Phone (240) 546-3428

Other names 1

  • Zelda Marie Dixon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20131106001519 MD Practitioner - Physician Assistant 6800021445 Reassigns benefits to 1 organization
I20131107000018 DC Practitioner - Physician Assistant 6800021445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

Practice addresses (Care Compare)

1670 Ritchie Station CT
Capitol Heights, MD 20743-5074
Phone (240) 765-1406

2855 Crain Hwy
Waldorf, MD 20601-2807
Phone (240) 427-1926

6201 Annapolis Rd
Landover Hills, MD 20784-1307
Phone (301) 276-3377

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

9000 Woodyard Rd
Clinton, MD 20735-4206
Phone (240) 546-3428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C002404MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group PLLC CurrentSince Aug 13, 2021 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Aug 13, 2021 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Aug 13, 2021 Accepting new patients
Patient First Maryland Medical Group, PLLC Current Accepting new patients

Locations

9000 Woodyard Rd
Clinton, MD 20735
Phone (240) 546-3248

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 4

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1982876868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 VICEROY AVE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473213",
            "telephone_number": "240-838-3714",
            "fax_number": "301-277-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 420",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127512",
            "telephone_number": "301-433-9147",
            "fax_number": "301-434-9178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Woodyard Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207354206",
            "country_code": "US",
            "telephone_number": "240-546-3428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ZELDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C002404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9000 Woodyard Rd",
            "city": "Clinton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207354206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ZELDA",
            "last_name": "DIXON",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.