Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Michael Dennis, PAC

Individual provider Surgical Physician Assistant · NPI 1063795003

Kevin Michael Dennis, PAC is a Physician Assistant in Bend, Oregon. Qualified in 2011, 15 years ago. Practices with Bend Memorial Clinic PC, a 226-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
15
Licensed in
OR
In the registry since
2011
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone: (541) 382-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA156037 (OR)

Record details

NPI number1063795003
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 26, 2011
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Bend Memorial Clinic Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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