| Stacy Bennett, | |
|
12 S Lakeview Ct, Goddard, KS 67052-9228 | |
| (316) 252-0445 | |
| Not Available |
| Full Name | Stacy Bennett |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12 S Lakeview Ct, Goddard, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144969312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-01941 (Kansas) | Primary |
| Provider Name | Parkinsons Connect |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1841881158 PECOS PAC ID: 6103233812 Enrollment ID: O20210325000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Bennett, 1446 N Cedar Park Cir, Wichita, KS 67235-1209 Ph: (131) 673-4177 | Stacy Bennett, 12 S Lakeview Ct, Goddard, KS 67052-9228 Ph: (316) 252-0445 |
Christopher Peters, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 Fax: 316-550-6215 | |
Janet Blasi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 Fax: 316-550-6215 | |
Jessica Ann Pauly, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 Fax: 316-550-6215 | |
Amanda Harter, PT, DPT, OCS, COMT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 Fax: 316-640-6215 | |
Mr. Micah Kenneth Harder, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 | |
Dr. Gabe Harter, PT, DPT, OCS, COMT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19931 W Kellogg Dr Unit A, Goddard, KS 67052 Phone: 316-550-6132 Fax: 316-550-6215 |