Kelly A Bennett, MD | |
3601 4th St, Lubbock, TX 79430-0002 | |
(806) 743-2757 | |
(806) 743-2563 |
Full Name | Kelly A Bennett |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 29 Years |
Location | 3601 4th St, Lubbock, Texas |
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 |
---|---|---|---|
1063404127 | NPI | - | NPPES |
A297 | Other | NM | TRIWEST |
100155840A | Medicaid | OK | |
117701603 | Medicaid | TX | |
108429102 | Other | TX | FIRSTCARE COMMERCIAL |
87813G | Other | TX | BCBS |
108429103 | Medicaid | TX | |
117701602 | Medicaid | TX | |
83027Z | Other | TX | HMO BLUE |
62147 | Other | NM | PRESBYTERIAN COMMERCIAL |
T9668 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K0417 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Covenant Medical Center | Lubbock, TX | Hospital |
University Medical Center | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Tech University Health Sciences Center Lubbock | 4385549674 | 318 |
Entity Name | Texas Tech University Health Sciences Center Lubbock |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
Mailing Address | Practice Location Address |
---|---|
Kelly A Bennett, MD 3601 4th St, Lubbock, TX 79430-8143 Ph: (806) 743-2757 | Kelly A Bennett, MD 3601 4th St, Lubbock, TX 79430-0002 Ph: (806) 743-2757 |
Charles Hudson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 Phone: 972-829-6613 Fax: 800-611-5029 | |
Dr. Ronald L. Cook, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St, Suite 1c143, Lubbock, TX 79430 Phone: 806-743-2757 Fax: 806-743-2563 | |
Naticia Mortensen, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5915 82nd St, Lubbock, TX 79424 Phone: 806-794-3000 Fax: 806-698-0847 | |
Dr. Cherrylene A Lindgren, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4105 I-27, Lubbock, TX 79404 Phone: 806-762-2633 Fax: 806-761-0431 | |
Jared Zachary Brinker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4515 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 | |
Dr. Charles Paul Willnauer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Stop 8143, Lubbock, TX 79430 Phone: 806-743-2757 |