| Derek T Bennetsen, DO | |
|
12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | |
| (214) 217-1911 | |
| Not Available |
| Full Name | Derek T Bennetsen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 12221 Merit Dr, Dallas, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720011232 | NPI | - | NPPES |
| 8AL417 | Other | TX | BCBS |
| P00388057 | Other | TX | RAILROAD |
| 181816301 | Medicaid | TX | |
| 90058763 | Medicaid | NM | |
| 181816302 | Medicaid | TX | |
| 181816304 | Medicaid | TX | |
| 8W1788 | Other | TX | BCBS |
| 8W0731 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M2257 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derek T Bennetsen, DO 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 Ph: () - | Derek T Bennetsen, DO 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 Ph: (214) 217-1911 |
Bradford Stager Commons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235 Phone: 214-590-8058 | |
Dr. Sandeep Guttikonda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-648-3916 Fax: 214-648-8423 | |
Jeffrey Szot, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-2667 | |
Matthew Tice, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-217-1911 | |
Dr. Renjie Michael Li, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13737 Noel Rd, Dallas, TX 75240 Phone: 214-217-1912 | |
Dr. Christian Brewer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-7000 | |
James Pierre D'etienne, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-2505 Fax: 214-712-2487 |