Carol A Bennett, ARNP | |
1302 River St, Palatka, FL 32177-5042 | |
(386) 328-8371 | |
(386) 328-1519 |
Full Name | Carol A Bennett |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1302 River St, Palatka, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093813370 | NPI | - | NPPES |
308868500 | Medicaid | FL | |
Y0568 | Other | FL | BCBS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP1550822 (Florida) | Primary |
Entity Name | Rural Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375 |
Mailing Address | Practice Location Address |
---|---|
Carol A Bennett, ARNP 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-8371 | Carol A Bennett, ARNP 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-8371 |
Lindsey Fletcher, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 | |
Mrs. Kathleen Anne Russell, ARNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6400 Saint Johns Ave, Palatka, FL 32177 Phone: 904-279-2200 | |
Kashanti Shanti Bowden, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6910 Old Wolf Bay Rd, Palatka, FL 32177 Phone: 386-328-7337 | |
Julia Loftus Weber, ARNP RNCS MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-329-3786 | |
Mr. Ronald Michael Wendt, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3703 Crill Ave, Palatka, FL 32177 Phone: 386-866-9100 Fax: 386-866-1900 | |
Ms. Canisha Shanara Gillon, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Kay Larkin Dr, Palatka, FL 32177 Phone: 386-329-3780 |