Dr Jeffrey Green Bennion, MD | |
2245 N 400 E, Ste 301, North Logan, UT 84341-1892 | |
(435) 753-7880 | |
(435) 753-5845 |
Full Name | Dr Jeffrey Green Bennion |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 35 Years |
Location | 2245 N 400 E, North Logan, Utah |
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 |
---|---|---|---|
1396731469 | NPI | - | NPPES |
7054 | Other | ID | IDAHO BOARD OF PHARMACY |
274201-9915 | Other | UT | UTAH CONTROLLED SUBSTANCE |
M-6924 | Other | ID | IDAHO STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 274201-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Logan Regional Hospital | Logan, UT | Hospital |
Cache Valley Hospital | North logan, UT | Hospital |
Bear Lake Memorial Hospital | Montpelier, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cache Valley Ear Nose And Throat, Pllc | 5193128882 | 8 |
Cache Valley Ear Nose And Throat, Pllc | 5193128882 | 8 |
Entity Name | Cache Valley Ear Nose & Throat, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548303795 PECOS PAC ID: 5193128882 Enrollment ID: O20220216002175 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Green Bennion, MD 2245 N 400 E, Ste 301, North Logan, UT 84341-1892 Ph: (435) 753-7880 | Dr Jeffrey Green Bennion, MD 2245 N 400 E, Ste 301, North Logan, UT 84341-1892 Ph: (435) 753-7880 |
Zachary Robinett, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845 | |
Jackson Walter Deere, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2245 N 400 E Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845 | |
Dr. James Wallentine Blotter, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845 |