Dr Keith G Bennett, MD in Pine Bluff, AR - Medicare Family Medicine

Dr Keith G Bennett, MD is a medicare enrolled "Family Medicine" physician in Pine Bluff, Arkansas. His current practice location is 4310 S Mulberry St, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 541-8747.

Dr Keith G Bennett is licensed to practice in Arkansas (license number C6572) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427085075.

Contact Information

	Dr Keith G Bennett, MD
	4310 S Mulberry St, Pine Bluff, AR 71603-7030
	(870) 541-8747
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Keith G Bennett
Gender	Male
Speciality	Family Medicine
Location	4310 S Mulberry St, Pine Bluff, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427085075
Provider Enumeration Date: 06/27/2006
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2365330842
Enrollment ID: I20040306000248

Medical Identifiers

Medical identifiers for Dr Keith G Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427085075	NPI	-	NPPES
115670001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	C6572 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Keith G Bennett allows following entities to bill medicare on his behalf.

Entity Name	Jefferson Hospital Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932157674 PECOS PAC ID: 8123927431 Enrollment ID: O20040106000512

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keith G Bennett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Keith G Bennett, MD Po Box 2650, Pine Bluff, AR 71613-2650 Ph: (870) 547-7211	Dr Keith G Bennett, MD 4310 S Mulberry St, Pine Bluff, AR 71603-7030 Ph: (870) 541-8747

Reviews and Comments

Family Medicine Doctors in Pine Bluff, AR

Mrs. Larisa Kachowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603 Phone: 870-619-4516
Simmie Armstrong Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-535-6461 Fax: 870-535-0594
Dr. Sree Chellappan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6010
Manuel R Kelley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716
Pavana Naga Gopi Krishna Tirumanisetti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6009
Dr. Toni L Middleton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-7622
Margaret Ann Washington, A.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716

Dr Keith G Bennett, MD - Medicare Family Medicine in Pine Bluff, AR