Justin A Bennett, is a medicare enrolled "Family Medicine" physician in Louisville, Tennessee. He went to Medical College Of Georgia School Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Blount Memorial Physician Group Inc and his current practice location is
1921 Topside Rd Ste 200, Louisville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 374-0560.
Justin A Bennett is licensed to practice in Tennessee (license number 52585) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396011722.
Physician's Profile
| Full Name | Justin A Bennett |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 14 Years |
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| Location | 1921 Topside Rd Ste 200, Louisville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Justin A Bennett attended and graduated from Medical College Of Georgia School Of Medicine in 2012
NPI Data:
- NPI Number: 1396011722
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 05/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 3678701521
- Enrollment ID: I20150824000246
Medical Identifiers
Medical identifiers for Justin A Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396011722 | NPI | - | NPPES |
| Q014187 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 52585 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Blount Memorial Physician Group Inc | 6406844174 | 250 |
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. Justin A Bennett allows following entities to bill medicare on his behalf.
| Entity Name | Blount Memorial Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699710194
PECOS PAC ID: 6406844174
Enrollment ID: O20040503000547 |
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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. Justin A 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 |
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Justin A Bennett,
1921 Topside Rd Ste 200,
Louisville, TN 37777-4761
Ph: (865) 374-0560 | Justin A Bennett,
1921 Topside Rd Ste 200,
Louisville, TN 37777-4761
Ph: (865) 374-0560 |
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