Dr Tamar Bennetsen, DO is a
General Practice physician based in Northlake, Texas. Dr Tamar Bennetsen is licensed to practice in Arizona (license number 4205) and her current practice location is 3010 Stardust Ln, Northlake, Texas. She can be reached at her office (for appointments etc.) via phone at
(915) 497-2179.
NPI number for Dr Tamar Bennetsen is 1699367540 and her current mailing address is 3010 Stardust Ln, Northlake, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699367540.
Physician's Profile
| Full Name | Dr Tamar Bennetsen |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | 3010 Stardust Ln, Northlake, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699367540
- Provider Enumeration Date: 02/10/2021
- Last Update Date: 02/10/2021
Medical Identifiers
Medical identifiers for Dr Tamar Bennetsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699367540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 4205 (Arizona) | 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 Tamar Bennetsen 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 Tamar Bennetsen, DO
3010 Stardust Ln,
Northlake, TX 76226-1763
Ph: (915) 497-2179 | Dr Tamar Bennetsen, DO
3010 Stardust Ln,
Northlake, TX 76226-1763
Ph: (915) 497-2179 |
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