BACCHUS PC
NPI 1134628480
Family Medicine in Henderson, NV
About Bacchus Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BACCHUS PC (NPI 1134628480), doing business as P3 Health Partners Medical Group, is a healthcare organization registered as a family medicine in Henderson, Nevada and active in the NPI registry since February 2018. The organization maintains 5 additional practice locations and lists Beverly Dendary, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Secondary Practice Locations 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bacchus Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
61Medicare enrollment records show 61 clinicians reassign Medicare billing to Bacchus PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 61Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bacchus PC's NPI number?
The NPI number for Bacchus PC is 1134628480. It was assigned to this organization in the NPPES registry on February 1, 2018. The provider is doing business as P3 Health Partners Medical Group.
Where is Bacchus PC located?
Bacchus PC is located at 880 Seven Hills Dr Ste 140, Henderson, NV 89052. The listed phone number is (702) 844-4840.
What is Bacchus PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bacchus PC enrolled in Medicare?
Yes. Bacchus PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bacchus PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 61 clinicians in 4 Medicare specialties reassign their Medicare billing to Bacchus PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (37), Family Practice (16) and Internal Medicine (7). Of these, 2 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bacchus PC accept?
Health plans from Ambetter from Arizona Complete Health list Bacchus PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bacchus PC was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bacchus Pc · NPI 1134628480
Family Medicine organization in Henderson, Nevada. Organization record, active in the CMS NPPES registry since February 1, 2018.
## Identity
- **NPI:** 1134628480 (Entity type: Organization)
- **Enumerated:** February 1, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** P3 Health Partners Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Beverly Dendary, CREDENTIALING MANAGER
## Practice location
- **Address:** 880 SEVEN HILLS DR STE 140, Henderson, NV 89052-4372
- **Phone:** (702) 844-4840 · **Fax:** (702) 844-4843
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 61 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (37), Family Practice (16), Internal Medicine (7); 2 practice at this address and 28 within 10 miles; [full list](https://npiprofile.com/npi/1134628480/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1134628480) · Data from the CMS NPPES public registry.