Dr Nicholas G Bennett, MD is a
Ophthalmology physician based in South Lake Tahoe, California. Dr Nicholas G Bennett is licensed to practice in California (license number ATE20131) and his current practice location is 3250 Marlette Circle, South Lake Tahoe, California. He can be reached at his office (for appointments etc.) via phone at
(530) 542-0480.
NPI number for Dr Nicholas G Bennett is 1619293727 and his current mailing address is P.o. Box 173, 3250 Marlette Circle, South Lake Tahoe, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619293727.
Physician's Profile
Full Name | Dr Nicholas G Bennett |
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Gender | Male |
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Speciality | Ophthalmology |
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Location | 3250 Marlette Circle, South Lake Tahoe, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619293727
- Provider Enumeration Date: 04/14/2010
- Last Update Date: 04/14/2010
Medical Identifiers
Medical identifiers for Dr Nicholas G Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619293727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | ATE20131 (California) | Primary |
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 Nicholas G Bennett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Nicholas G Bennett, MD P.o. Box 173, 3250 Marlette Circle, South Lake Tahoe, CA 96156 Ph: (530) 542-0480 | Dr Nicholas G Bennett, MD 3250 Marlette Circle, South Lake Tahoe, CA 96156 Ph: (530) 542-0480 |
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