Erin Leigh Bennett, PA-S2
Physician Assistant in Renton, WA. Individual provider (NPI-1).
NPI number1366061079
StatusActive
Last updated in NPPESMay 5, 2021
Details
- NPI
- 1366061079
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Erin Leigh Bennett
- Credential
- PA-S2
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2020
- Certification date
- May 5, 2021
- Last updated
- May 5, 2021
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 | PA61090769 | WA | Yes |
Practice location
17722 Talbot Rd SRenton, WA 98055-5744
Phone 425-690-3479 · Fax 425-690-9479
Mailing address
3600 Lind Ave SwSuite 100 Attn Credentialing
Renton, WA 98057-4970
Phone 425-690-2715
Other practice locations
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