| Charles William Bennett, MD | |
|
7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | |
| (505) 884-1114 | |
| (505) 884-3004 |
| Full Name | Charles William Bennett |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 7850 Jefferson St Ne Ste 300, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548452915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | MD2016-0080 (New Mexico) | Secondary |
| 208D00000X | General Practice | MD2016-0080 (New Mexico) | Primary |
| Entity Name | Desert Mountain Healing Iop |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831830413 PECOS PAC ID: 9931562923 Enrollment ID: O20231103001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles William Bennett, MD 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 Ph: (505) 884-1114 | Charles William Bennett, MD 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 Ph: (505) 884-1114 |
Dr. Gemma Cristina Zapater, MD General Practice Medicare: Medicare Enrolled Practice Location: 923 Calle Fuerte Ne, Albuquerque, NM 87113 Phone: 787-439-9999 | |
Dr. Mark Henry Raterink, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6100 Uptown Blvd Ne Ste 650, Albuquerque, NM 87110 Phone: 505-340-0700 Fax: 505-340-0701 | |
Mr. Michael R Valdez, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3811 Commons Ave Ne, Albuquerque, NM 87109 Phone: 505-345-9599 Fax: 505-998-4207 | |
Steven James Drilling, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 801 Encino Pl Ne Ste E12, Albuquerque, NM 87102 Phone: 505-842-5151 Fax: 505-842-5676 | |
Steven Greer, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109 Phone: 505-884-1114 Fax: 505-856-6320 | |
Dr. Jeffrey W Glassheim, DO General Practice Medicare: Medicare Enrolled Practice Location: 1010 Las Lomas Rd Ne, Suite 4, Albuquerque, NM 87102 Phone: 505-246-8700 Fax: 866-571-9011 | |
Dr. Julie Dicianno, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3150 Carlisle Blvd Ne, Ste 107, Albuquerque, NM 87110 Phone: 505-884-3344 Fax: 866-790-2292 |