| Bruce A Bennett, MD | |
|
401 Phalen Blvd, Mail Stop 41104a, St Paul, MN 55101-5302 | |
| (651) 254-7980 | |
| (651) 254-7969 |
| Full Name | Bruce A Bennett |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 401 Phalen Blvd, St Paul, Minnesota |
| 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 |
|---|---|---|---|
| 1750356622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 36874 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regions Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Plan Inc | 1759293954 | 1487 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A Bennett, MD 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-5790 | Bruce A Bennett, MD 401 Phalen Blvd, Mail Stop 41104a, St Paul, MN 55101-5302 Ph: (651) 254-7980 |
Seth I Wolpert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Mail Stop 41104a, St Paul, MN 55101 Phone: 851-254-7980 Fax: 651-254-7969 | |
Todd J Morris, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, Mail Stop 11101e, St Paul, MN 55101 Phone: 651-254-4870 Fax: 651-254-3048 | |
David P Blake, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, Mc 11503k, St Paul, MN 55102 Phone: 651-254-3462 Fax: 651-254-1603 | |
Cassandra Palmer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11101e, St Paul, MN 55101 Phone: 651-254-4870 Fax: 651-254-3048 | |
David H Ahrenholz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, Mail Stop 11101e, St Paul, MN 55101 Phone: 651-254-4870 Fax: 651-254-3048 |