| Lauren Alexandria Bennallack, DO | |
|
400 N Pepper Ave, Colton, CA 92324-1801 | |
| (909) 580-1000 | |
| Not Available |
| Full Name | Lauren Alexandria Bennallack |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 400 N Pepper Ave, Colton, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902216468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | S3632 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | 20A14245 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Hospitals Of Providence Horizon City Campus | Horizon city, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bluff Creek Emergency Medicine Associates, Pa | 1355605924 | 68 |
| Pearsall Emergency Medicine Associates, Pa | 1557623147 | 31 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134761331 PECOS PAC ID: 6608056171 Enrollment ID: O20120813000819 |
| Entity Name | Pearsall Emergency Medicine Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104326263 PECOS PAC ID: 1557623147 Enrollment ID: O20180319002335 |
| Entity Name | Bluff Creek Emergency Medicine Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679071690 PECOS PAC ID: 1355605924 Enrollment ID: O20180507001763 |
| Entity Name | Hospitalist Medicine Physicians Of Texas - Houston, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760028740 PECOS PAC ID: 2860881125 Enrollment ID: O20211109000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Alexandria Bennallack, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000 | Lauren Alexandria Bennallack, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000 |
Eugene Lawrence Kwong, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400 | |
Gregory M. Fenati, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 858-344-7049 | |
Dr. Aaron Ho, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 1m107, Colton, CA 92324 Phone: 909-580-2159 | |
Niluk Leon Senewiratne, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 | |
Dr. Vikram Raj, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 107, Colton, CA 92324 Phone: 909-580-1802 | |
Travis Patrick Martin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 E Washington St, Colton, CA 92324 Phone: 909-887-2991 Fax: 909-887-2991 | |
Robert Sexton Kollen, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400 |