Bennett Clinic - Medicare in Prescott, AZ

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Bennett Clinic is a medicare enrolled "Clinic/center - Physical Therapy" provider in Prescott, Arizona. Their current practice location is 1202 Willow Creek Rd, Prescott, Arizona. You can reach out to their office (for appointments etc.) via phone at (928) 771-9400.

Bennett Clinic is licensed to practice in Arizona (license number PT 6078) and it also participates in the medicare program. Bennett Clinic is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083946586.

Contact Information

Bennett Clinic
1202 Willow Creek Rd,
Prescott, AZ 86301-1428
(928) 771-9400
(928) 771-9464

Map and Direction




Healthcare Provider's Profile

Full NameBennett Clinic
TypeFacility
SpecialityClinic/center - Physical Therapy
Location1202 Willow Creek Rd, Prescott, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083946586
  • Provider Enumeration Date: 02/08/2010
  • Last Update Date: 03/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4587788062
  • Enrollment ID: O20100907000243

Medical Identifiers

Medical identifiers for Bennett Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083946586NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NX0800XChiropractor - Orthopedic 5009 (Arizona)Secondary
261QP2000XClinic/center - Physical Therapy PT 6078 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bennett Clinic acts as a billing entity for following providers:
Provider NameWayne A Bennett
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1952386542
PECOS PAC ID: 1254373988
Enrollment ID: I20050524000270
Provider NameMichael B Nash
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1184609786
PECOS PAC ID: 6002858289
Enrollment ID: I20050527000089
Provider NameDianne A Tobin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083614168
PECOS PAC ID: 0941235725
Enrollment ID: I20050929001070
Provider NameJanelle H Goligoski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033163860
PECOS PAC ID: 8325094402
Enrollment ID: I20051109000617
Provider NameTravis Jordan Wetzel
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1114462157
PECOS PAC ID: 0941577720
Enrollment ID: I20170526001039
Provider NameSean Moran
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1154466860
PECOS PAC ID: 4082656319
Enrollment ID: I20190610001726
Provider NameJosh Walker Larson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1669949756
PECOS PAC ID: 8527309889
Enrollment ID: I20191014000883

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. Bennett Clinic 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 AddressPractice Location Address
Bennett Clinic
1202 Willow Creek Rd,
Prescott, AZ 86301-1428

Ph: (928) 771-9400		Bennett Clinic
1202 Willow Creek Rd,
Prescott, AZ 86301-1428

Ph: (928) 771-9400

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.