Miss Dana Bennett, PA is a medicare enrolled "Physician Assistant" physician in Stony Brook, New York. Her current practice location is
1 Lauterbur Drive, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 444-4392.
Miss Dana Bennett is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659789253.
Physician's Profile
| Full Name | Miss Dana Bennett |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1 Lauterbur Drive, Stony Brook, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659789253
- Provider Enumeration Date: 07/27/2014
- Last Update Date: 10/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254788227
- Enrollment ID: I20231113002550
Medical Identifiers
Medical identifiers for Miss Dana Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659789253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 030532 (New York) | Secondary |
| 207X00000X | Orthopaedic Surgery | 030532 (New York) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Dana Bennett is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Dana Bennett, PA
1 Lauterbur Drive,
Stony Brook, NY 11794-2231
Ph: (631) 444-4392 | Miss Dana Bennett, PA
1 Lauterbur Drive,
Stony Brook, NY 11794-2231
Ph: (631) 444-4392 |
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