| Mr Jordan Romney Bennett, PA-C | |
|
280 S Pacific Hwy, Talent, OR 97540-6649 | |
| (304) 520-6644 | |
| (541) 414-0415 |
| Full Name | Mr Jordan Romney Bennett |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 280 S Pacific Hwy, Talent, Oregon |
| 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 |
|---|---|---|---|
| 1396448627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA214334 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Medford Medical Center | Medford, OR | Hospital |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Oregon Orthopedics Inc | 1456256528 | 64 |
| Dotare Llc | 4789111493 | 2 |
| Entity Name | Southern Oregon Orthopedics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518093376 PECOS PAC ID: 1456256528 Enrollment ID: O20031202000214 |
| Entity Name | Dotare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114752110 PECOS PAC ID: 4789111493 Enrollment ID: O20241219001101 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jordan Romney Bennett, PA-C 650 Woodlark Dr, Medford, OR 97501-2625 Ph: (206) 306-5107 | Mr Jordan Romney Bennett, PA-C 280 S Pacific Hwy, Talent, OR 97540-6649 Ph: (304) 520-6644 |
David Allen Cohen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 49 Talent Ave, Talent, OR 97540 Phone: 541-201-4900 |
Amanda L Lewis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 288 S Pacific Hwy, Talent, OR 97540 Phone: 304-520-6644 Fax: 541-414-0415 |