Dr Lawrence Northwood Bennett, MD | |
3417 Ensign Rd Ne, Olympia, WA 98506-5075 | |
(360) 493-4600 | |
(360) 493-4603 |
Full Name | Dr Lawrence Northwood Bennett |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 42 Years |
Location | 3417 Ensign Rd Ne, Olympia, Washington |
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 |
---|---|---|---|
1053302547 | NPI | - | NPPES |
1042650 | Medicaid | WA | |
0117641 | Other | WA | LNI-SOUTH SOUND |
8213712 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD00035569 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Peter Hospital | Olympia, WA | Hospital |
Providence Centralia Hospital | Centralia, WA | Hospital |
Arbor Health Morton Hospital | Morton, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Sound Radiologists Inc P S | 1254229305 | 52 |
Radia Inc P S | 9931012812 | 256 |
Entity Name | Radia Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20031106000749 |
Entity Name | Evergreen Radia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922095694 PECOS PAC ID: 4587568076 Enrollment ID: O20031125000896 |
Entity Name | South Sound Radiologists Inc P S |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902990500 PECOS PAC ID: 1254229305 Enrollment ID: O20040309001119 |
Entity Name | Swedish Radia Imaging Center At Edmonds Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164494373 PECOS PAC ID: 5496778292 Enrollment ID: O20060106000841 |
Entity Name | Radia Imaging Center Holdings Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639653017 PECOS PAC ID: 6305182965 Enrollment ID: O20190118000572 |
Mailing Address | Practice Location Address |
---|---|
Dr Lawrence Northwood Bennett, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | Dr Lawrence Northwood Bennett, MD 3417 Ensign Rd Ne, Olympia, WA 98506-5075 Ph: (360) 493-4600 |
Dr. Kevin Joseph Reed, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3417 Ensign Rd Ne, Olympia, WA 98506 Phone: 360-493-4609 Fax: 360-493-4603 | |
Dr. Samuel J. Boynton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3417 Ensign Rd Ne, Olympia, WA 98506 Phone: 360-493-4600 Fax: 360-493-4603 | |
Dr. Tariq Hesham Balawi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3417 Ensign Rd Ne, Olympia, WA 98506 Phone: 360-493-4600 Fax: 360-493-4603 | |
Dr. Jabi Elijah Shriki, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3417 Ensign Road Ne, Olympia, WA 98506 Phone: 360-493-4609 Fax: 360-493-4603 | |
Dr. Jack Mark Fields, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3417 Ensign Rd Ne, Olympia, WA 98506 Phone: 360-493-4600 Fax: 360-493-4603 | |
Dr. Christopher Brinson Hartness, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 604-937-4603 Fax: 360-493-7253 |