| Mr Lewis Bennett, CRNA | |
|
111 S 11th St, Phila, PA 19107-4824 | |
| (215) 955-0715 | |
| Not Available |
| Full Name | Mr Lewis Bennett |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 33 Years |
| Location | 111 S 11th St, Phila, Pennsylvania |
| 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 |
|---|---|---|---|
| 1538125182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | RN270741L (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN270741-L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson University Physicians | 7911819180 | 1393 |
| Entity Name | Jefferson University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
| Entity Name | Spinal Care Pain Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245306489 PECOS PAC ID: 2264416544 Enrollment ID: O20040615000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lewis Bennett, CRNA 2410 S Broad St, 3rd Flr, Phila, PA 19145-4418 Ph: (215) 462-6600 | Mr Lewis Bennett, CRNA 111 S 11th St, Phila, PA 19107-4824 Ph: (215) 955-0715 |
Jeffrey D Park, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 Holme Ave, Phila, PA 19152 Phone: 215-335-6200 | |
Lisa Gonzales, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Phila, PA 19102 Phone: 215-762-7922 Fax: 215-762-8656 | |
Nicole Sherae Smith, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Phila, PA 19111 Phone: 267-990-1028 | |
Eric Filippo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Phila, PA 19102 Phone: 215-762-7922 Fax: 215-762-8656 |