| Robert Russell Bennett, DC | |
|
21885 Highway 62, Shady Cove, OR 97539 | |
| (541) 878-3603 | |
| (541) 878-3603 |
| Full Name | Robert Russell Bennett |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 34 Years |
| Location | 21885 Highway 62, Shady Cove, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285786525 | NPI | - | NPPES |
| 043898 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2769 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shady Cove Chiropractic Llc | 5597156638 | 2 |
| Provider Name | Southern Oregon Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891829370 PECOS PAC ID: 0345281671 Enrollment ID: O20050517001060 |
| Provider Name | Southern Oregon Chiropractic-central Point, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952892945 PECOS PAC ID: 5395095434 Enrollment ID: O20180911001354 |
| Provider Name | Shady Cove Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154089423 PECOS PAC ID: 5597156638 Enrollment ID: O20211227000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Russell Bennett, DC Po Box 550, Eagle Point, OR 97524-0550 Ph: (541) 878-3603 | Robert Russell Bennett, DC 21885 Highway 62, Shady Cove, OR 97539 Ph: (541) 878-3603 |
Gina Eilertson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 21885 Highway 62, Shady Cove, OR 97539 Phone: 541-878-3603 Fax: 541-538-5503 | |
Shady Cove Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 21885 Or-62, Shady Cove, OR 97539 Phone: 541-878-3603 | |
Shady Cove Chiropractic And Massage, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21885 Or-62, Shady Cove, OR 97539 Phone: 541-878-3603 |