Bernard Leroy Bennett, MD | |
661 W 1st St Ste G, Tustin, CA 92780-2939 | |
(714) 665-9890 | |
(714) 665-9891 |
Full Name | Bernard Leroy Bennett |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 661 W 1st St Ste G, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871568899 | NPI | - | NPPES |
DO0034 | Other | NC | MEDICARE RAILROAD |
DA5493 | Other | NC | MEDICARE RAILROAD |
P00651283 | Other | NC | MEDICARE RAILROAD |
P00062870 | Other | NC | MEDICARE RAILROAD |
1028P | Other | NC | BLUE CROSS |
891028P | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C42114 (California) | Primary |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | All For Health Health For All Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568567220 PECOS PAC ID: 5698734788 Enrollment ID: O20041005000704 |
Entity Name | Inpatient Consultants Of California Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831134253 PECOS PAC ID: 7618861501 Enrollment ID: O20050318000829 |
Entity Name | Families Together Of Orange County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194122457 PECOS PAC ID: 7517268816 Enrollment ID: O20151210000638 |
Entity Name | Independence Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669942751 PECOS PAC ID: 0042549966 Enrollment ID: O20190901000003 |
Mailing Address | Practice Location Address |
---|---|
Bernard Leroy Bennett, MD 661 W 1st St Ste G, Tustin, CA 92780-2939 Ph: (714) 665-9890 | Bernard Leroy Bennett, MD 661 W 1st St Ste G, Tustin, CA 92780-2939 Ph: (714) 665-9890 |
Dr. Huong T Duong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610 | |
Dr. Susan L Ban, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610 | |
Jeremy Lam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2492 Walnut Ave Ste 100, Tustin, CA 92780 Phone: 714-709-8000 Fax: 714-709-8080 | |
Dr. Thomas C Hwang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610 | |
Dr. James A Grimes, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 17400 Irvine Blvd, Suite F, Tustin, CA 92780 Phone: 714-838-5610 | |
Dr. Pin-hung Hsieh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13522 Newport Ave Ste 102, Tustin, CA 92780 Phone: 714-573-8200 Fax: 714-573-9401 | |
Madonna A Nicolai, CFNP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 14351 Myford Rd, Suite B, Tustin, CA 92780 Phone: 714-550-9990 Fax: 714-550-1226 |