| Dean R Bennett, MD | |
|
13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 | |
| (703) 471-5300 | |
| (703) 471-4391 |
| Full Name | Dean R Bennett |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 13350 Franklin Farm Road, Herndon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215958053 | NPI | - | NPPES |
| 200019375 | Other | MEDICARE RAILROAD | |
| 6402062 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 0101036600 (Virginia) | Primary |
| Entity Name | Fair Oaks Orthopaedic Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881620904 PECOS PAC ID: 9739135153 Enrollment ID: O20050329000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Dean R Bennett, MD Po Box 71230, Philadelphia, PA 19176-6230 Ph: (703) 383-6424 | Dean R Bennett, MD 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 Ph: (703) 471-5300 |
William A Hazel, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 Phone: 703-471-5300 Fax: 701-471-4391 | |
Dr. Kevin Charles Lutta, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 Phone: 703-810-5204 Fax: 703-810-5411 |