Tracy Travina Bennett, RN is a
Registered Nurse - Administrator based in Alta Loma, California. Tracy Travina Bennett is licensed to practice in California (license number 511336) and her current practice location is
10762 Wilson Ave, Alta Loma, California. She can be reached at her office (for appointments etc.) via phone at
(909) 322-2081.
NPI number for Tracy Travina Bennett is 1285243444 and her current mailing address is 140 Harvard Ave Unit 1736, Claremont, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285243444.
Provider's Profile
Full Name | Tracy Travina Bennett |
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Gender | Female |
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Speciality | Registered Nurse - Administrator |
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Location | 10762 Wilson Ave, Alta Loma, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285243444
- Provider Enumeration Date: 07/23/2020
- Last Update Date: 07/23/2020
Medical Identifiers
Medical identifiers for Tracy Travina Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285243444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WA2000X | Registered Nurse - Administrator | 511336 (California) | Primary |
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. Tracy Travina Bennett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tracy Travina Bennett, RN 140 Harvard Ave Unit 1736, Claremont, CA 91711-7180 Ph: (909) 322-2081 | Tracy Travina Bennett, RN 10762 Wilson Ave, Alta Loma, CA 91737-2436 Ph: (909) 322-2081 |
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