| Mr Jack David Bennett, MD | |
|
617 S Market St, #2, Waverly, OH 45690-1654 | |
| (740) 941-1859 | |
| (740) 941-1859 |
| Full Name | Mr Jack David Bennett |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 617 S Market St, Waverly, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518167550 | NPI | - | NPPES |
| 0986429 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35067134 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack David Bennett, MD 617 S Market St, #2, Waverly, OH 45690-1654 Ph: (740) 941-1859 | Mr Jack David Bennett, MD 617 S Market St, #2, Waverly, OH 45690-1654 Ph: (740) 941-1859 |
Samantha L Cook, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 835 W Emmitt Ave, Waverly, OH 45690 Phone: 740-947-7662 Fax: 740-941-0099 | |
Mohammad T. Ali, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 227 Valley View Dr, Waverly, OH 45690 Phone: 740-947-7726 Fax: 740-947-9354 |