Michael Ernest Bennett, MD | |
938 Bannock St, Ste. 300, Denver, CO 80204-4028 | |
(303) 914-8800 | |
Not Available |
Full Name | Michael Ernest Bennett |
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Gender | Male |
Speciality | Radiology - Neuroradiology |
Location | 938 Bannock St, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083698385 | NPI | - | NPPES |
47053739 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | 200400806 (North Carolina) | Secondary |
2085N0700X | Radiology - Neuroradiology | 44660 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Entity Name | Spectrum Medical Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164881652 PECOS PAC ID: 1355647595 Enrollment ID: O20160314001910 |
Mailing Address | Practice Location Address |
---|---|
Michael Ernest Bennett, MD 1746 Cole Blvd, Ste 150, Lakewood, CO 80401-3267 Ph: (303) 914-8800 | Michael Ernest Bennett, MD 938 Bannock St, Ste. 300, Denver, CO 80204-4028 Ph: (303) 914-8800 |
Dr. Manuel D Aquino, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9400 E Iliff Ave Apt 41, Denver, CO 80231 Phone: 720-934-4537 | |
Dr. Robert Ward Burman, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2045 N Franklin St, Denver, CO 80205 Phone: 303-338-4545 | |
Dr. John H Bair, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2045 Franklin St, Denver, CO 80205 Phone: 303-338-4545 | |
Gary W. Bauerle, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 938 Bannock St, Ste 300, Denver, CO 80204 Phone: 303-914-8800 Fax: 303-716-3777 | |
Dr. Sara Louise Anschuetz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2490 W 26th Ave, Suite 220, Denver, CO 80211 Phone: 303-433-9729 Fax: 303-480-0405 | |
Dr. Jeffrey D Wicks, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2490 W 26th Ave, Suite 220, Denver, CO 80211 Phone: 303-433-9729 Fax: 303-480-0405 | |
Christopher Ryan Deig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1721 E 19th Ave, #520, Denver, CO 80218 Phone: 812-449-1243 |