Dr Frederick S Bennett, MD - Medicare Orthopedic Surgery in Santa Rosa, CA

Dr Frederick S Bennett, MD is a medicare enrolled "Orthopaedic Surgery" physician in Santa Rosa, California. He went to University Of California, Geffen School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Providence Medical Foundation and his current practice location is 1162 Montgomery Dr Ste 3, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 890-4250.

Dr Frederick S Bennett is licensed to practice in California (license number G64646) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205879830.

Contact Information

Dr Frederick S Bennett, MD
1162 Montgomery Dr Ste 3,
Santa Rosa, CA 95405-4802
(707) 890-4250
Not Available

Map and Direction




Physician's Profile

Full NameDr Frederick S Bennett
GenderMale
SpecialityOrthopedic Surgery
Experience37 Years
Location1162 Montgomery Dr Ste 3, Santa Rosa, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Frederick S Bennett attended and graduated from University Of California, Geffen School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1205879830
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 07/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769434307
  • Enrollment ID: I20080626000184

Medical Identifiers

Medical identifiers for Dr Frederick S Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205879830NPI-NPPES
00G646460MedicaidCA
00G646460OtherCACIGNA DME
G64646OtherCALICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0801XOrthopaedic Surgery - Orthopaedic Trauma G64646 (California)Secondary
207X00000XOrthopaedic Surgery G64646 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Rosa Memorial HospitalSanta rosa, CAHospital
Sutter Santa Rosa Regional HospitalSanta rosa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Frederick S Bennett allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Frederick S Bennett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Orthopaedic Surgery Doctors in Santa Rosa, CA

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.