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

MS. Tracy M Bennett, PA-C

Individual provider Physician Assistant · NPI 1457560419

MS. Tracy M Bennett, PA-C is a Physician Assistant in Bangor, Maine. Qualified in 2007, 19 years ago. Practices with St Joseph Hospital, a 196-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
19
Licensed in
ME
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

360 Broadway
Bangor, ME 04401-3900
Phone: (207) 907-3650
Fax: (207) 907-3660
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1097 (ME)

Record details

NPI number1457560419
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing addressC/Ost Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice St Joseph Hospital — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bangor