Bryan Andrew Bennett, MD | |
600 Roe Ave, Elmira, NY 14905-1629 | |
(607) 442-1713 | |
Not Available |
Full Name | Bryan Andrew Bennett |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 600 Roe Ave, Elmira, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699395145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD61400314 (Washington) | Primary |
Entity Name | Sound Physicians Emergency Medicine Of Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629532064 PECOS PAC ID: 7315279007 Enrollment ID: O20191030000855 |
Mailing Address | Practice Location Address |
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Bryan Andrew Bennett, MD 813 Canton St, Troy, PA 16947-1452 Ph: (801) 520-6994 | Bryan Andrew Bennett, MD 600 Roe Ave, Elmira, NY 14905-1629 Ph: (607) 442-1713 |
Stephen Manganaro, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-4508 Fax: 607-735-5738 | |
Benjamin King, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Ivy St, Elmira, NY 14905 Phone: 607-737-8157 | |
Dr. James Daniel Bohan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-4508 Fax: 607-735-5738 | |
Dr. Sumyyah Yousufi, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-4508 Fax: 607-735-5738 | |
Dr. James L Distin, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-8157 Fax: 607-271-3664 | |
Jeremy Lux, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-4508 Fax: 607-735-5738 | |
Marc Immerman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1003 Walnut St, Elmira, NY 14901 Phone: 607-732-5646 Fax: 607-732-0373 |