Rachel Grace Bengtson, PA
Physician Assistant in Summerville, SC. Individual provider (NPI-1).
NPI number1174489736
StatusActive
Last updated in NPPESDec 29, 2025
Details
- NPI
- 1174489736
- Entity type
- Individual (NPI-1)
- Name
- Rachel Grace Bengtson
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2025
- Certification date
- Dec 29, 2025
- Last updated
- Dec 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | SC | Yes |
Practice location
204 Parsons RdSummerville, SC 29483-3348
Phone 843-900-0495
Mailing address
3903 Poplar Grove PlSummerville, SC 29483-2143
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All 78 Physician Assistant providers in Summerville · All 2,710 providers in Summerville
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