| Donald Walter Bennett, OD MD | |
|
1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | |
| (502) 895-0040 | |
| (502) 361-4488 |
| Full Name | Donald Walter Bennett |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1935 Bluegrass Ave, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013991165 | NPI | - | NPPES |
| 64233687 | Medicaid | KY | |
| 200101170 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 23368 (Kentucky) | Primary |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Walter Bennett, OD MD 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 Ph: (502) 895-0040 | Donald Walter Bennett, OD MD 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 Ph: (502) 895-0040 |
Kathryn Louise Stucker, MD Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 301 E Muhammad Ali Blvd, Louisville, KY 40202 Phone: 502-852-0710 | |
Dr. Brennan P Greene, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1536 Story Ave, The Eye Care Institute Building, Louisville, KY 40206 Phone: 502-589-1500 Fax: 502-589-1556 | |
Theodore M Wandzilak, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1348 Poplar Level Rd, Louisville, KY 40217 Phone: 502-634-8100 Fax: 502-637-6396 | |
Dr. Mark Cassol, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 800 Zorn Ave, Louisville, KY 40206 Phone: 502-287-4000 | |
Lawrence Tenkman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215 Phone: 502-895-0040 Fax: 502-361-4488 | |
Dr. Jacob Jones Yunker, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3810 Springhurst Blvd, Suite 100, Louisville, KY 40241 Phone: 502-897-9881 Fax: 502-897-9824 |