Kenneth W Bennett, CRNA | |
5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | |
(251) 432-4497 | |
(251) 432-0577 |
Full Name | Kenneth W Bennett |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 5 Mobile Infirmary Cir, Mobile, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942254263 | NPI | - | NPPES |
009935493 | Medicaid | AL | |
051532707 | Other | AL | BC OF ALABAMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 1-072095 (Alabama) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1072095 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Alabama Medical Center | Dothan, AL | Hospital |
Mobile Infirmary Medical Center | Mobile, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Usa Health Anesthesia Billing Services Llc | 1153659123 | 142 |
Anesthesiologists Associated Pc | 6204739519 | 357 |
Houston County Healthcare Authority | 9436062296 | 195 |
Entity Name | Anesthesiologists Associated Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851371850 PECOS PAC ID: 6204739519 Enrollment ID: O20040202000465 |
Entity Name | Houston County Healthcare Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
Entity Name | Providence Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952390643 PECOS PAC ID: 9830111871 Enrollment ID: O20051219000880 |
Entity Name | Usa Health Anesthesia Billing Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629635818 PECOS PAC ID: 1153659123 Enrollment ID: O20190829000530 |
Mailing Address | Practice Location Address |
---|---|
Kenneth W Bennett, CRNA Po Box 934369, Atlanta, GA 31193-0001 Ph: (800) 897-6169 | Kenneth W Bennett, CRNA 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 Ph: (251) 432-4497 |