Caleb R Bennett, is a medicare enrolled "Audiologist" provider in Canon City, Colorado. His current practice location is
115 N 8th St, Canon City, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 275-3968.
Caleb R Bennett is licensed to practice in Colorado (license number AUD.0001021) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508478801.
Healthcare Provider's Profile
Full Name | Caleb R Bennett |
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Gender | Male |
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Speciality | Audiologist |
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Location | 115 N 8th St, Canon City, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508478801
- Provider Enumeration Date: 08/18/2020
- Last Update Date: 08/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 7810317435
- Enrollment ID: I20201021001298
Medical Identifiers
Medical identifiers for Caleb R Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508478801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AUD.0001021 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caleb R Bennett is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Caleb R Bennett, 2501 Cottontail Ln, Somerset, NJ 08873-5125 Ph: (732) 529-7120 | Caleb R Bennett, 115 N 8th St, Canon City, CO 81212-3307 Ph: (719) 275-3968 |
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