Mr Dale Todd Bennett, MED is a
Counselor - School based in Willcox, Arizona. Mr Dale Todd Bennett is licensed to practice in Arizona (license number ) and his current practice location is
480 N Bisbee Ave, Willcox, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 384-8660.
NPI number for Mr Dale Todd Bennett is 1699922674 and his current mailing address is 480 N Bisbee Ave, Willcox, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699922674.
Healthcare Provider's Profile
| Full Name | Mr Dale Todd Bennett |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - School |
|---|
| Location | 480 N Bisbee Ave, Willcox, Arizona |
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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: 1699922674
- Provider Enumeration Date: 08/21/2008
- Last Update Date: 08/21/2008
Medical Identifiers
Medical identifiers for Mr Dale Todd Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699922674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | (Arizona) | 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. Mr Dale Todd 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 |
|---|
Mr Dale Todd Bennett, MED
480 N Bisbee Ave,
Willcox, AZ 85643-1509
Ph: (520) 909-8447 | Mr Dale Todd Bennett, MED
480 N Bisbee Ave,
Willcox, AZ 85643-1509
Ph: (520) 384-8660 |
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