Robert Russell Bennett, DC | |
21885 Highway 62, Shady Cove, OR 97539 | |
(541) 878-3603 | |
(541) 878-3603 |
Full Name | Robert Russell Bennett |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 33 Years |
Location | 21885 Highway 62, Shady Cove, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285786525 | NPI | - | NPPES |
043898 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2769 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shady Cove Chiropractic Llc | 5597156638 | 2 |
Provider Name | Southern Oregon Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891829370 PECOS PAC ID: 0345281671 Enrollment ID: O20050517001060 |
Provider Name | Southern Oregon Chiropractic-central Point, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952892945 PECOS PAC ID: 5395095434 Enrollment ID: O20180911001354 |
Provider Name | Shady Cove Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154089423 PECOS PAC ID: 5597156638 Enrollment ID: O20211227000895 |
Mailing Address | Practice Location Address |
---|---|
Robert Russell Bennett, DC Po Box 550, Eagle Point, OR 97524-0550 Ph: (541) 878-3603 | Robert Russell Bennett, DC 21885 Highway 62, Shady Cove, OR 97539 Ph: (541) 878-3603 |
Gina Eilertson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 21885 Or-62, Shady Cove, OR 97539 Phone: 541-878-3603 Fax: 541-622-8502 | |
Shady Cove Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 21885 Or-62, Shady Cove, OR 97539 Phone: 541-878-3603 | |
Shady Cove Chiropractic And Massage, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21885 Or-62, Shady Cove, OR 97539 Phone: 541-878-3603 |