| Justin Baines Bennett, | |
|
4314 Williamstown Pike, Williamstown, WV 26187-8083 | |
| (304) 482-6029 | |
| Not Available |
| Full Name | Justin Baines Bennett |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 4314 Williamstown Pike, Williamstown, West 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 |
|---|---|---|---|
| 1174293138 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Joseph Recovery Center, Llc | 0042548000 | 12 |
| Grace Medical Group Llc | 0941651947 | 2 |
| Entity Name | Matrix Medical Network Of West |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942569033 PECOS PAC ID: 0244598621 Enrollment ID: O20171212001076 |
| Entity Name | St. Joseph Recovery Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174021406 PECOS PAC ID: 0042548000 Enrollment ID: O20190829000101 |
| Entity Name | Healthfair Plus Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20230420002891 |
| Entity Name | Grace Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376172494 PECOS PAC ID: 0941651947 Enrollment ID: O20240103004145 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Baines Bennett, 4314 Williamstown Pike, Williamstown, WV 26187-8083 Ph: (304) 482-6029 | Justin Baines Bennett, 4314 Williamstown Pike, Williamstown, WV 26187-8083 Ph: (304) 482-6029 |
Madeline Zumbro, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 Osprey Dr, Williamstown, WV 26187 Phone: 304-865-5100 | |
Veronica Murphy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 424 Highland Ave, Williamstown, WV 26187 Phone: 740-376-6191 Fax: 740-376-6192 |