| Dr Anthony Arlo Bennett, MD | |
|
1899 Orchard Lake Rd, Suite 104, Sylvan Lake, MI 48320-1774 | |
| (248) 894-8019 | |
| (248) 693-4632 |
| Full Name | Dr Anthony Arlo Bennett |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 1899 Orchard Lake Rd, Sylvan Lake, Michigan |
| 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 |
|---|---|---|---|
| 1801866397 | NPI | - | NPPES |
| AB063302 | Other | MI | LICENSE |
| 700H219330 | Other | MI | BLUE CROSS |
| 3009301771 | Other | MI | BCBSM |
| MI3594001 | Other | MI | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | AB063302 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036112710 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nds Radiology Pllc | 2062408875 | 10 |
| Vmd Primary Providers Eastern Michigan Pc | 9234480575 | 60 |
| Entity Name | Michigan Institute Of Urology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
| Entity Name | Park Family Health Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437161437 PECOS PAC ID: 9638077621 Enrollment ID: O20031231000344 |
| Entity Name | Med Share Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790960342 PECOS PAC ID: 0840184396 Enrollment ID: O20040214000014 |
| Entity Name | Northland Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386804060 PECOS PAC ID: 7719884741 Enrollment ID: O20040214000016 |
| Entity Name | Tri-county Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639264344 PECOS PAC ID: 1355326885 Enrollment ID: O20040621000304 |
| Entity Name | Cosmetic Dermatology And Vein Centers Of Downriver Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750494282 PECOS PAC ID: 9931177490 Enrollment ID: O20040922000536 |
| Entity Name | Nds Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649418211 PECOS PAC ID: 2062408875 Enrollment ID: O20090512000117 |
| Entity Name | Lapeer Medical Diagnostics, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316376858 PECOS PAC ID: 9133359599 Enrollment ID: O20140304000720 |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20140505001344 |
| Entity Name | Sudad Louis Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760847651 PECOS PAC ID: 7315243920 Enrollment ID: O20160308002100 |
| Entity Name | Lee Internal Medicine Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821441783 PECOS PAC ID: 3173818606 Enrollment ID: O20160823002945 |
| Entity Name | Zwanger & Pesiri Radiology Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477523413 PECOS PAC ID: 5092700799 Enrollment ID: O20180807003388 |
| Entity Name | Vmd Primary Providers Eastern Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336625540 PECOS PAC ID: 9234480575 Enrollment ID: O20180925002900 |
| Entity Name | Personal Health Imaging Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083659379 PECOS PAC ID: 1658262407 Enrollment ID: O20190724001348 |
| Entity Name | Cira Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972141513 PECOS PAC ID: 7113355264 Enrollment ID: O20200324000504 |
| Entity Name | Connecticut Imaging Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20210701003442 |
| Entity Name | Farmington Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20210804002733 |
| Entity Name | Maryland Imaging Network Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487296471 PECOS PAC ID: 6103259304 Enrollment ID: O20240923000394 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Arlo Bennett, MD 441 Franklin Wright Blvd, Lake Orion, MI 48362-1585 Ph: (248) 894-8019 | Dr Anthony Arlo Bennett, MD 1899 Orchard Lake Rd, Suite 104, Sylvan Lake, MI 48320-1774 Ph: (248) 894-8019 |