Johnique C Bennett, MD | |
2300 Park Ave Ste 205, Orange Park, FL 32073 | |
(904) 272-0384 | |
Not Available |
Full Name | Johnique C Bennett |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 8 Years |
Location | 2300 Park Ave Ste 205, Orange Park, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538519640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME136292 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hni Medical Services Of Florida, Llc | 7517202112 | 105 |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Entity Name | Hni Medical Services Of Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
Mailing Address | Practice Location Address |
---|---|
Johnique C Bennett, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: () - | Johnique C Bennett, MD 2300 Park Ave Ste 205, Orange Park, FL 32073 Ph: (904) 272-0384 |
Larry Steven Garsha, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2858 Country Club Blvd, Orange Park, FL 32073 Phone: 904-579-4553 | |
Barbara Leigh Cruikshank, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140 | |
Darby R Martin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Kingsley Ave, Orange Park, FL 32073 Phone: 904-264-9293 Fax: 904-390-7492 | |
William V Choisser, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073 Phone: 904-264-2297 Fax: 904-264-6266 | |
Allison Dasta Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065 Phone: 904-282-4565 Fax: 904-282-4225 | |
Dr. Abdul A Qazizada, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 865 Blanding Blvd, Orange Park, FL 32065 Phone: 904-276-1133 Fax: 904-276-1821 | |
David Maynoldi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 Kingsley Ave, Orange Park, FL 32073 Phone: 877-842-4020 Fax: 877-842-4020 |