Bryan C Bennett, is a
Case Manager/care Coordinator based in Los Angeles, California. Bryan C Bennett is licensed to practice in * (Not Available) (license number ) and his current practice location is
3210 W Jefferson Blvd, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(626) 533-2647.
NPI number for Bryan C Bennett is 1902145683 and his current mailing address is 1501 Hughes Way, Long Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902145683.
Healthcare Provider's Profile
| Full Name | Bryan C Bennett |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 3210 W Jefferson Blvd, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902145683
- Provider Enumeration Date: 01/31/2013
- Last Update Date: 08/24/2015
Medical Identifiers
Medical identifiers for Bryan C Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902145683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Bryan C Bennett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bryan C Bennett,
1501 Hughes Way,
Long Beach, CA 90810-1876
Ph: (310) 221-6336 | Bryan C Bennett,
3210 W Jefferson Blvd,
Los Angeles, CA 90018-3230
Ph: (626) 533-2647 |
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