Erin Bennett

Pediatric Critical Care Medicine | Female

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Complete Profile:

Erin Bennett basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Critical Care Medicine
Provider Name :	Erin Bennett
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Erin Bennett address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	100 Mario Capecchi Dr Salt Lake City, UT, 84113 United States
Phone Number :	801-662-1000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1801153358
NPI Entity Type :	Individual
First Enrolment Date :	20 Apr, 2012
Last Updated On :	16 Jul, 2018

Medicare Participation:

Erin Bennett participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6204056245
Medicare Enrollment ID :	I20190917000417
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Kansas School Of Med (kc/wich/sal)
Graduation Year :	2012
Accepts Medicare?	Yes. Erin Bennett accepts medicare insurance.

Group Practice Association:

Erin Bennett is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Erin Bennett is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Arkansas	4082528955	1115	1 Children's Way Little Rock, AR - 722023500	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 854 Little Rock, AR - 722023500 Ph: 5013641100	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 653 Little Rock, AR - 722023571 Ph: 5013641100	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Erin Bennett are as mentioned. Primary taxonomy code for Erin Bennett is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0203X	Pediatrics Pediatric Critical Care Medicine	Yes	8771414-1205	UT
390200000X	Student in an Organized Health Care Education/Training Program	No

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1563 Alvamar Ct Lawrence, KS, 66047-1713 United States
Phone Number :	785-865-9980

Business Location:

Patients can refer following map for directions to Erin Bennett practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.