| Richard Gary Bennett, MD | |
|
1301 20th St, Suite 570, Santa Monica, CA 90404-2050 | |
| (310) 315-0171 | |
| (310) 828-6647 |
| Full Name | Richard Gary Bennett |
|---|---|
| Gender | Male |
| Speciality | Micrographic Dermatologic Surgery (mds) |
| Experience | 55 Years |
| Location | 1301 20th St, Santa Monica, California |
| 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 |
|---|---|---|---|
| 1760416648 | NPI | - | NPPES |
| 00G502970 | Other | CA | MEDICAL PPIN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | G50297 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Care Sharing Home Health | Encino, CA | Home health agency |
| Providence Saint John's Health Center | Santa monica, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richard G Bennett Md | 5496785792 | 5 |
| Entity Name | The Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568431310 PECOS PAC ID: 8426956160 Enrollment ID: O20031219000512 |
| Entity Name | Richard G Bennett Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467508523 PECOS PAC ID: 5496785792 Enrollment ID: O20050816001130 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Gary Bennett, MD 1301 20th St, Suite 570, Santa Monica, CA 90404-2050 Ph: (310) 315-0171 | Richard Gary Bennett, MD 1301 20th St, Suite 570, Santa Monica, CA 90404-2050 Ph: (310) 315-0171 |
Gregory J Colman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404 Phone: 310-829-4484 Fax: 310-829-4481 | |
Ava T Shamban, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2021 Santa Monica Blvd, Suite 600e, Santa Monica, CA 90404 Phone: 310-828-2282 Fax: 310-828-8504 | |
Dr. Hrak Ray Jalian, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2020 Santa Monica Blvd Ste 570, Santa Monica, CA 90404 Phone: 310-917-3376 | |
Sourabh Arora, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2222 Santa Monica Blvd Ste 105, Santa Monica, CA 90404 Phone: 213-214-8738 | |
Mr. Paul Lawrence Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404 Phone: 310-829-4484 Fax: 310-829-4481 | |
Khoa Ba Nguyen, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2020 Santa Monica Blvd Ste 510, Santa Monica, CA 90404 Phone: 310-917-3376 | |
Dr. Jeena Kaur Sandhu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd Ste 480w, Santa Monica, CA 90404 Phone: 310-954-9501 Fax: 310-954-9502 |