Ethan Conner Bennett, DPT in Temple Terrace, FL - Medicare Physical Therapist Provider

Ethan Conner Bennett, DPT is a medicare enrolled "Physical Therapist" provider in Temple Terrace, Florida. His current practice location is 13020 N Telecom Pkwy, Temple Terrace, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 978-9700.

Ethan Conner Bennett is licensed to practice in Florida (license number PTT40306) 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 1285328526.

Contact Information

	Ethan Conner Bennett, DPT
	13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915
	(813) 978-9700
	(813) 978-9700

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Conner Bennett
Gender	Male
Speciality	Physical Therapist
Location	13020 N Telecom Pkwy, Temple Terrace, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285328526
Provider Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7214395870
Enrollment ID: I20230614002351

Medical Identifiers

Medical identifiers for Ethan Conner Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285328526	NPI	-	NPPES
PTT40306	Other	FL	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTT40306 (Florida)	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. Ethan Conner Bennett allows following entities to bill medicare on his behalf.

Provider Name	Musculoskeletal Institute Chartered
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386639920 PECOS PAC ID: 1052224102 Enrollment ID: O20031106000215

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. Ethan Conner 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
Ethan Conner Bennett, DPT 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 Ph: (813) 978-9700	Ethan Conner Bennett, DPT 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 Ph: (813) 978-9700

Reviews and Comments

Physical Therapist in Temple Terrace, FL

Meghan Lynn Hyde, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 9225 N 56th St, Temple Terrace, FL 33617 Phone: 877-609-0123 Fax: 888-425-0398
Javier Alvarado, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-588-6187
Brian Richard Laskowski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6185
Lindsay Ann Landry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700
Ryan M Wadas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6187
Andrea Wojcichowsky, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700
Timothy P Gill, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055

Ethan Conner Bennett, DPT - Medicare Physical Therapist in Temple Terrace, FL