Dr Frederick S Bennett, MD | |
1162 Montgomery Dr Ste 3, Santa Rosa, CA 95405-4802 | |
(707) 890-4250 | |
Not Available |
Full Name | Dr Frederick S Bennett |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 37 Years |
Location | 1162 Montgomery Dr Ste 3, Santa Rosa, California |
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 |
---|---|---|---|
1205879830 | NPI | - | NPPES |
00G646460 | Medicaid | CA | |
00G646460 | Other | CA | CIGNA DME |
G64646 | Other | CA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | G64646 (California) | Secondary |
207X00000X | Orthopaedic Surgery | G64646 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Frederick S Bennett, MD 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 Ph: (707) 546-1922 | Dr Frederick S Bennett, MD 1162 Montgomery Dr Ste 3, Santa Rosa, CA 95405-4802 Ph: (707) 890-4250 |
Raymond Severt, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1144 Sonoma Ave, Suite 121, Santa Rosa, CA 95405 Phone: 707-978-4322 Fax: 707-538-2519 | |
Dr. Peter Bernard Albert Pappas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 76 Brookwood Ave, Santa Rosa, CA 95404 Phone: 707-523-2381 Fax: 707-523-2677 | |
Christian Nabil Athanassious, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1897 | |
Dr. Thomas C Degenhardt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1987 | |
Dr. Roger A Klein, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Sonoma Ave, Suite 106, Santa Rosa, CA 95405 Phone: 707-576-0366 Fax: 707-576-0468 | |
Dr. Mark E. Schakel Ii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1897 | |
Dominic J Mintalucci, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1897 |