Samuel Bennett, is a medicare enrolled "Nurse Practitioner - Family" in Bishop, Georgia. His current practice location is
2180 Elder Rd, Bishop, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 202-6311.
Samuel Bennett is licensed to practice in Georgia (license number RN296584) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255192944.
Provider's Profile
| Full Name | Samuel Bennett |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2180 Elder Rd, Bishop, Georgia |
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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: 1255192944
- Provider Enumeration Date: 01/19/2024
- Last Update Date: 01/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062859598
- Enrollment ID: I20240320001545
Medical Identifiers
Medical identifiers for Samuel Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255192944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN296584 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samuel Bennett allows following entities to bill medicare on his behalf.
| Entity Name | Athens Digestive Healthcare Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043616279
PECOS PAC ID: 4486975455
Enrollment ID: O20150602002084 |
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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. Samuel 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 |
|---|
Samuel Bennett,
2180 Elder Rd,
Bishop, GA 30621-6226
Ph: () - | Samuel Bennett,
2180 Elder Rd,
Bishop, GA 30621-6226
Ph: (706) 202-6311 |
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