| Mr Justin M Bennett, NP | |
|
567 Walker St, Merryville, LA 70653-3040 | |
| (337) 825-1728 | |
| (337) 825-1229 |
| Full Name | Mr Justin M Bennett |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 567 Walker St, Merryville, Louisiana |
| 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 |
|---|---|---|---|
| 1386637155 | NPI | - | NPPES |
| 1477095 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP04254 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iberia Medical Center | New iberia, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winn Community Health Center, Inc. | 2567516545 | 48 |
| Iberia Comprehensive Community Health Center,inc. | 6204817828 | 33 |
| Entity Name | Iberia Comprehensive Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922046549 PECOS PAC ID: 6204817828 Enrollment ID: O20050809000029 |
| Entity Name | Winn Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491 |
| Entity Name | Rapides After Hours Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720353352 PECOS PAC ID: 7012165921 Enrollment ID: O20120919000202 |
| Entity Name | St Francis Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194104513 PECOS PAC ID: 6608181516 Enrollment ID: O20150820010652 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin M Bennett, NP 806 Jefferson Ter, New Iberia, LA 70560-5727 Ph: (337) 365-4945 | Mr Justin M Bennett, NP 567 Walker St, Merryville, LA 70653-3040 Ph: (337) 825-1728 |
Mrs. Joni Dianne Whitehead, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 567 Walker St, Merryville, LA 70653 Phone: 337-825-1728 Fax: 337-825-1229 | |
Carolyn Amburn, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3589 Highway 389, Merryville, LA 70653 Phone: 409-273-3400 |