| Todd P Bennett, MD | |
|
1000 N Shenandoah Ave, Front Royal, VA 22630-3547 | |
| (540) 636-0327 | |
| (540) 636-0189 |
| Full Name | Todd P Bennett |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 1000 N Shenandoah Ave, Front Royal, Virginia |
| 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 |
|---|---|---|---|
| 1396763009 | NPI | - | NPPES |
| 010288266 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 18600 (West Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 0101237797 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grant Memorial Hospital | Petersburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grant Memorial Hospital Inc | 4183082712 | 36 |
| Entity Name | Health Care Alliance, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730128760 PECOS PAC ID: 5799689105 Enrollment ID: O20050816000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd P Bennett, MD 1000 N Shenandoah Ave, Front Royal, VA 22630-3547 Ph: (540) 636-0327 | Todd P Bennett, MD 1000 N Shenandoah Ave, Front Royal, VA 22630-3547 Ph: (540) 636-0327 |
James William Freilich, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0327 Fax: 540-636-0198 | |
Richard T Nanna, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0300 Fax: 540-636-0198 | |
Michael Blaine Voorhees, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0327 Fax: 540-636-0198 | |
Mark R Pierce, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0300 Fax: 540-636-0198 | |
Jackie S O'donnell, CFNP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0291 | |
Hashim Stanazai, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0300 Fax: 540-636-0427 |