Look up the most recent NPI and PECOS records

Justin Bentley

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

100 S 10th St, Lillington, NC 27546-6690

PECOS Enrollment

Based on the most recent information from CMS, provider Justin Bentley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1356868863
Provider Type
Individual
Full Name
Bentley, Justin
Gender
Male

Sole Proprietor
No
Enumeration Date
8/25/2017
Last Updated
11/16/2018

Contact Information

Practice Location

100 S 10th St, Lillington, NC 27546-6690

(480) 433-0231

Unlisted Fax

Mailing Location

100 South 10th Street, Lillington, NC 27546

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Justin Bentley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Nguyen, Jasmine

Christmann-Fishman, Taylor Nicole

Turner, Melissa Beth

Stanley, Karson Makenna

Freeman, Amanda Adele

Lane, Stephanie Breanne

Price, Anne

Rowan, Sydney

Walker, Nia

Rexroat, Kaitlyn Mae