Dean R Bennett, MD | |
13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 | |
(703) 471-5300 | |
(703) 471-4391 |
Full Name | Dean R Bennett |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 13350 Franklin Farm Road, Herndon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215958053 | NPI | - | NPPES |
200019375 | Other | MEDICARE RAILROAD | |
6402062 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 0101036600 (Virginia) | Primary |
Entity Name | Fair Oaks Orthopaedic Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881620904 PECOS PAC ID: 9739135153 Enrollment ID: O20050329000250 |
Mailing Address | Practice Location Address |
---|---|
Dean R Bennett, MD Po Box 71230, Philadelphia, PA 19176-6230 Ph: (703) 383-6424 | Dean R Bennett, MD 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 Ph: (703) 471-5300 |
William A Hazel, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 Phone: 703-471-5300 Fax: 701-471-4391 | |
Dr. Kevin Charles Lutta, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 Phone: 703-810-5204 Fax: 703-810-5411 |