| Roderick Neal Bennett, MD | |
|
15010 Longs Ln, Punta Gorda, FL 33982-2700 | |
| (813) 819-3669 | |
| Not Available |
| Full Name | Roderick Neal Bennett |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 15010 Longs Ln, Punta Gorda, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629166137 | NPI | - | NPPES |
| 17217 | Other | FL | BCBS |
| 1063878 | Medicaid | LA | |
| P00438668 | Other | FL | RR MEDICARE |
| 278376200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME98577 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 200060 (Louisiana) | Primary |
| Entity Name | W4p Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689116618 PECOS PAC ID: 9931489473 Enrollment ID: O20161129001991 |
| Entity Name | Bravera Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568928331 PECOS PAC ID: 7113353103 Enrollment ID: O20200211002165 |
| Entity Name | Continuum Medical Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003464033 PECOS PAC ID: 6608204169 Enrollment ID: O20200316001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Roderick Neal Bennett, MD Po Box 8432, Tampa, FL 33674-8432 Ph: (813) 819-3669 | Roderick Neal Bennett, MD 15010 Longs Ln, Punta Gorda, FL 33982-2700 Ph: (813) 819-3669 |
Lawrence R Bachle, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 25097 Olympia Ave, Suite 107, Punta Gorda, FL 33950 Phone: 941-205-2620 Fax: 941-206-2630 | |
Dr. Richard E Vasquez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3424 Curacao Ct, Punta Gorda, FL 33950 Phone: 312-925-4241 | |
Frank J Novy Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27060 Chile Dr, Punta Gorda, FL 33983 Phone: 941-979-9592 | |
Dr. L. S. Coney, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 E Marion Ave, Punta Gorda, FL 33950 Phone: 501-412-5858 | |
Derrell L. Billington, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 809 E Marion Ave, Punta Gorda, FL 33950 Phone: 941-637-2529 |