| Mrs Shanna Ann Bennett, RD | |
|
1901 Encore Way, Bryant, AR 72019-8896 | |
| (501) 219-7770 | |
| Not Available |
| Full Name | Mrs Shanna Ann Bennett |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1901 Encore Way, Bryant, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255931093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2000 (Arkansas) | Primary |
| Provider Name | Baptist Health |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578593067 PECOS PAC ID: 0648177949 Enrollment ID: O20031215000977 |
| Provider Name | Arkansas Heart Hospital Rural Health Services, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548553811 PECOS PAC ID: 6204004815 Enrollment ID: O20110727000090 |
| Provider Name | Arkansas Heart Hospital LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558653212 PECOS PAC ID: 6002838653 Enrollment ID: O20110729000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shanna Ann Bennett, RD 1901 Encore Way, Bryant, AR 72019-8896 Ph: (501) 219-7770 | Mrs Shanna Ann Bennett, RD 1901 Encore Way, Bryant, AR 72019-8896 Ph: (501) 219-7770 |
Mrs. Courtney E Sutterfield, RD/RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1901 Encore Way, Bryant, AR 72019 Phone: 501-213-4500 Fax: 501-686-8586 |
Lillian Cheak, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2706 Finley Loop, Bryant, AR 72022 Phone: 501-213-6325 |