| Mr Mark Ryan Bennett, PT | |
|
901 Nevin Ave, Richmond, CA 94801-3143 | |
| (510) 307-1684 | |
| Not Available |
| Full Name | Mr Mark Ryan Bennett |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 901 Nevin Ave, Richmond, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902965387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 33182 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Ryan Bennett, PT 658 Ashbury St, San Francisco, CA 94117-2923 Ph: (415) 810-0504 | Mr Mark Ryan Bennett, PT 901 Nevin Ave, Richmond, CA 94801-3143 Ph: (510) 307-1684 |
Pamela Katrina Ygrubay, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1551 | |
Jonathan Stockton Chow, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2970 Hilltop Mall Rd, #203, Richmond, CA 94806 Phone: 510-222-8000 | |
Mr. Yasin Baskan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5639 Santa Cruz Ave, Richmond, CA 94804 Phone: 510-396-2846 | |
Jude Xie, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Dr. Jennalyn Sujan Lew, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2970 Hilltop Mall Rd Ste 203, Richmond, CA 94806 Phone: 510-222-8000 | |
Nancy Carol Woelffer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1551 Fax: 510-307-1664 | |
Narumon B Verweij, R.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1301 Hilltop Mall Rd, B101, Richmond, CA 94806 Phone: 510-222-8080 Fax: 510-222-8083 |