| Bethany Hart, PA-C | |
|
104 E Highland Mall Blvd, Austin, TX 78752-3775 | |
| (512) 458-2437 | |
| (833) 393-3915 |
| Full Name | Bethany Hart |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 104 E Highland Mall Blvd, Austin, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528616588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA13327 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vivent Health Inc | 1052308376 | 54 |
| Entity Name | Aids Arms, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609852813 PECOS PAC ID: 7719940774 Enrollment ID: O20041110000591 |
| Entity Name | Vivent Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982654091 PECOS PAC ID: 1052308376 Enrollment ID: O20200501001356 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Hart, PA-C 104 E Highland Mall Blvd, Austin, TX 78752-3775 Ph: (512) 458-2437 | Bethany Hart, PA-C 104 E Highland Mall Blvd, Austin, TX 78752-3775 Ph: (512) 458-2437 |
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