Dr Chase Alan Bennett, DDS is a
Specialist based in San Diego, California. Dr Chase Alan Bennett is licensed to practice in California (license number 61279) and his current practice location is
9474 Kearny Villa Rd, Suite 102, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 494-5091.
NPI number for Dr Chase Alan Bennett is 1043566706 and his current mailing address is 9474 Kearny Villa Rd, Suite 102, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043566706.
Healthcare Provider's Profile
| Full Name | Dr Chase Alan Bennett |
|---|
| Gender | Male |
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| Speciality | Specialist |
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| Location | 9474 Kearny Villa Rd, San Diego, 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: 1043566706
- Provider Enumeration Date: 07/31/2012
- Last Update Date: 09/03/2020
Medical Identifiers
Medical identifiers for Dr Chase Alan Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043566706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 61279 (California) | Secondary |
| 122300000X | Dentist | 202272 (Colorado) | Secondary |
| 174400000X | Specialist | 202272 (Colorado) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
| 174400000X | Specialist | 61279 (California) | 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. Dr Chase Alan 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 |
|---|
Dr Chase Alan Bennett, DDS
9474 Kearny Villa Rd, Suite 102,
San Diego, CA 92126-4595
Ph: (619) 494-5091 | Dr Chase Alan Bennett, DDS
9474 Kearny Villa Rd, Suite 102,
San Diego, CA 92126-4595
Ph: (619) 494-5091 |
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