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

Marcie Bennett, PA

Individual provider Physician Assistant · NPI 1992846323

Marcie Bennett, PA is a Physician Assistant in San Antonio, Texas. Qualified in 1999, 27 years ago. Practices with Jagannath LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4775 Hamilton Wolfe Rd Ste 1
San Antonio, TX 78229-3456
Phone: (210) 616-0283
Fax: (210) 616-0071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA02823 (TX)

Record details

NPI number1992846323
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address4775 Hamilton Wolfe Rd Ste 1, San Antonio, TX 78229-3456

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Jagannath Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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