Samuel Bennett, | |
2180 Elder Rd, Bishop, GA 30621-6226 | |
(706) 202-6311 | |
Not Available |
Full Name | Samuel Bennett |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2180 Elder Rd, Bishop, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255192944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN296584 (Georgia) | Primary |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
Entity Name | Athens Digestive Healthcare Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043616279 PECOS PAC ID: 4486975455 Enrollment ID: O20150602002084 |
Mailing Address | Practice Location Address |
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Samuel Bennett, 2180 Elder Rd, Bishop, GA 30621-6226 Ph: () - | Samuel Bennett, 2180 Elder Rd, Bishop, GA 30621-6226 Ph: (706) 202-6311 |
Andrea Lynne Maloy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3450 New High Shoals Rd, Bishop, GA 30621 Phone: 706-769-7738 | |
Mauree Harper Whitaker, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Overlook Ridge Rd, Bishop, GA 30621 Phone: 706-207-1166 | |
Mrs. Alison Sue Peterson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1081 Roberta Dr, Bishop, GA 30621 Phone: 706-769-0771 |