Mrs Stephanie Faye Bennett, | |
101 Gateway Drive, Macon, GA 31210 | |
(478) 210-1670 | |
Not Available |
Full Name | Mrs Stephanie Faye Bennett |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 101 Gateway Drive, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043086879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RN251069 (Georgia) | Primary |
Entity Name | Gabriel Primary Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982306718 PECOS PAC ID: 5294197265 Enrollment ID: O20230809000202 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stephanie Faye Bennett, 5661 Ocmulgee East Blvd, Macon, GA 31217-5797 Ph: (478) 960-9592 | Mrs Stephanie Faye Bennett, 101 Gateway Drive, Macon, GA 31210 Ph: (478) 210-1670 |
Dr. Shuichi Nakai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3780 Eisenhower Pkwy, Macon, GA 31206 Phone: 478-633-5550 Fax: 478-633-7287 | |
Sam G Amporful, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Riverside Drive Lane, Macon, GA 31201 Phone: 478-259-3439 Fax: 478-254-2733 | |
Dr. Robert C Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Riverside Dr Ste B300, Macon, GA 31210 Phone: 478-405-5252 Fax: 478-477-8411 | |
Alice Rose House, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 College St, Suite A, Macon, GA 31207 Phone: 478-301-4111 Fax: 478-301-5812 | |
Dione Duc, Family Medicine Medicare: Medicare Enrolled Practice Location: 777 Hemlock St # 104, Macon, GA 31201 Phone: 478-633-7550 Fax: 478-633-3235 | |
Collier Branan Gladin Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 N Crest Blvd, Macon, GA 31210 Phone: 478-757-8335 Fax: 478-757-8353 |