Shelby James Bennett, MD | |
8020 Constitution Pl Ne, Suite 202, Albuquerque, NM 87110-7607 | |
(505) 998-3096 | |
(505) 998-3100 |
Full Name | Shelby James Bennett |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 14 Years |
Location | 8020 Constitution Pl Ne, Albuquerque, New Mexico |
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 |
---|---|---|---|
1538473491 | NPI | - | NPPES |
79288758 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | MD2016-0226 (New Mexico) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD2016-0226 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gerald Champion Regional Medical Center | Alamogordo, NM | Hospital |
Los Alamos Medical Center | Los alamos, NM | Hospital |
Cibola General Hospital | Grants, NM | Hospital |
Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Knd Development 59 Llc | 3678602802 | 144 |
New Mexico Oncology Hematology Consultants Ltd | 3577533447 | 56 |
Otero County Hospital Association | 3173516606 | 133 |
X-ray Associates Of New Mexico Pc | 6709879430 | 32 |
Entity Name | X-ray Associates Of New Mexico Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235105800 PECOS PAC ID: 6709879430 Enrollment ID: O20040407000573 |
Entity Name | New Mexico Oncology Hematology Consultants Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164475232 PECOS PAC ID: 3577533447 Enrollment ID: O20040728000867 |
Entity Name | Santa Fe Radiology P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760402127 PECOS PAC ID: 9830139898 Enrollment ID: O20050509001015 |
Entity Name | Otero County Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215266754 PECOS PAC ID: 3678602802 Enrollment ID: O20101202000819 |
Entity Name | Santa Fe Imaging, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013937408 PECOS PAC ID: 7012099161 Enrollment ID: O20161219001272 |
Entity Name | Tampa Bay Radiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518914977 PECOS PAC ID: 1456381136 Enrollment ID: O20200414002881 |
Mailing Address | Practice Location Address |
---|---|
Shelby James Bennett, MD 8020 Constitution Pl Ne, Suite 202, Albuquerque, NM 87110-7607 Ph: (505) 998-3096 | Shelby James Bennett, MD 8020 Constitution Pl Ne, Suite 202, Albuquerque, NM 87110-7607 Ph: (505) 998-3096 |
Mark Ehrhart, MD Radiology Medicare: Medicare Enrolled Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661 | |
Dr. Shaya Ansari, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110 Phone: 505-998-3096 Fax: 505-998-3100 | |
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011 | |
Erika Jane Starks, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: Radiology Msc 10-5530 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308 | |
Danielle Eckart Sorte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Dept Of Radiology Msc 10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 801-641-5515 | |
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919 |