John R Bennett, MD | |
203 S Western Ave, C/o: Credentialing, Tonasket, WA 98855 | |
(509) 486-2151 | |
(509) 486-3176 |
Full Name | John R Bennett |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 203 S Western Ave, Tonasket, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558385666 | NPI | - | NPPES |
1558385666 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | MD00020703 (Washington) | Secondary |
207P00000X | Emergency Medicine | MD00020703 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Entity Name | Okanogan County Public Hospital Dist No 4 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750443834 PECOS PAC ID: 9335051150 Enrollment ID: O20040323000641 |
Entity Name | Northwest Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
Entity Name | Okanogan County Public Hospital Dist No 4 |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1164580700 PECOS PAC ID: 9335051150 Enrollment ID: O20061104000210 |
Mailing Address | Practice Location Address |
---|---|
John R Bennett, MD 203 S Western Ave, C/o: Credentialing, Tonasket, WA 98855-8803 Ph: (509) 486-3144 | John R Bennett, MD 203 S Western Ave, C/o: Credentialing, Tonasket, WA 98855 Ph: (509) 486-2151 |
Dr. Anthony James Musielewicz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 126 S Whitcomb Ave, Tonasket, WA 98855 Phone: -- | |
Dr. Grant A Dawson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 118 S Whitcomb Ave, Tonasket, WA 98855 Phone: 509-486-3191 |