Dr Anthony Arlo Bennett, MD | |
1899 Orchard Lake Rd, Suite 104, Sylvan Lake, MI 48320-1774 | |
(248) 894-8019 | |
(248) 693-4632 |
Full Name | Dr Anthony Arlo Bennett |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 24 Years |
Location | 1899 Orchard Lake Rd, Sylvan Lake, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801866397 | NPI | - | NPPES |
AB063302 | Other | MI | LICENSE |
700H219330 | Other | MI | BLUE CROSS |
3009301771 | Other | MI | BCBSM |
MI3594001 | Other | MI | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | AB063302 (Michigan) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036112710 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Montefiore Medical Center | Bronx, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nds Radiology Pllc | 2062408875 | 5 |
Central Illinois Radiological Associates Ltd | 9436061827 | 156 |
Montefiore Medical Center | 3779496021 | 2071 |
Insight Chicago Inc | 2860894706 | 126 |
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Michigan Institute Of Urology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
Entity Name | Park Family Health Care, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437161437 PECOS PAC ID: 9638077621 Enrollment ID: O20031231000344 |
Entity Name | Med Share Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790960342 PECOS PAC ID: 0840184396 Enrollment ID: O20040214000014 |
Entity Name | Northland Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386804060 PECOS PAC ID: 7719884741 Enrollment ID: O20040214000016 |
Entity Name | Tri-county Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639264344 PECOS PAC ID: 1355326885 Enrollment ID: O20040621000304 |
Entity Name | Cosmetic Dermatology And Vein Centers Of Downriver Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750494282 PECOS PAC ID: 9931177490 Enrollment ID: O20040922000536 |
Entity Name | James Robert Little Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467660449 PECOS PAC ID: 5799879813 Enrollment ID: O20070925000126 |
Entity Name | Nds Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649418211 PECOS PAC ID: 2062408875 Enrollment ID: O20090512000117 |
Entity Name | Lapeer Medical Diagnostics, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316376858 PECOS PAC ID: 9133359599 Enrollment ID: O20140304000720 |
Entity Name | Central Illinois Radiological Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20140505001344 |
Entity Name | Sudad Louis Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760847651 PECOS PAC ID: 7315243920 Enrollment ID: O20160308002100 |
Entity Name | Lee Internal Medicine Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821441783 PECOS PAC ID: 3173818606 Enrollment ID: O20160823002945 |
Entity Name | Zwanger & Pesiri Radiology Group Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477523413 PECOS PAC ID: 5092700799 Enrollment ID: O20180807003388 |
Entity Name | Personal Health Imaging Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083659379 PECOS PAC ID: 1658262407 Enrollment ID: O20190724001348 |
Entity Name | Cira Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972141513 PECOS PAC ID: 7113355264 Enrollment ID: O20200324000504 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Arlo Bennett, MD 441 Franklin Wright Blvd, Lake Orion, MI 48362-1585 Ph: (248) 894-8019 | Dr Anthony Arlo Bennett, MD 1899 Orchard Lake Rd, Suite 104, Sylvan Lake, MI 48320-1774 Ph: (248) 894-8019 |