Alva J Bennett (NPI# 1033168794, PAC ID# 0547275513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1033168794 |
| PAC ID by PECOS | 0547275513 |
| Professional Enrollment ID | I20060308000460 |
| Full Name | Alva J Bennett |
| Organization Legal Name | SPECIALISTS IN DERMATOLOGY, PLLC |
| Address |
1845 W Orange Grove Rd Suite 105 Tucson AZ 85704-1196 |
| Phone Number | 5203023330 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7012809726 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1131 S La Canada Dr, Suite 201, Green Valley, AZ 85614-1944 | 5203823330 | SPECIALISTS IN DERMATOLOGY, PLLC |
| 1845 W Orange Grove Rd, Suite 105, Tucson, AZ 85704-1196 | 5203023330 | SPECIALISTS IN DERMATOLOGY, PLLC |
| Organization Legal Name | SPECIALISTS IN DERMATOLOGY, PLLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mannix Isaias Consolacion | Nurse Practitioner | Specialists In Dermatology, Pllc | 2732 N Alvernon Way, Tucson, AZ 85712-1804 |
| Masha Mobbley | Nurse Practitioner | Specialists In Dermatology, Pllc | 1845 W Orange Grove Rd, Suite 105, Tucson, AZ 85704-1196 |
| Noelle Rahmaneh Eskandari | Physician Assistant | Specialists In Dermatology, Pllc | 1131 S La Canada Dr, Suite 201, Green Valley, AZ 85614-1944 |
| Mindy L Powell | Dermatology | Specialists In Dermatology, Pllc | 2732 N Alvernon Way, Tucson, AZ 85712-1804 |
| Karin A Myers | Physician Assistant | Specialists In Dermatology, Pllc | 1845 W Orange Grove Rd, Suite 105, Tucson, AZ 85704-1196 |
| Weimin K Hu | Dermatology | Specialists In Dermatology, Pllc | 2732 N Alvernon Way, Tucson, AZ 85712-1804 |
| Norman E Bystol | Dermatology | Specialists In Dermatology, Pllc | 1131 S La Canada Dr, Suite 201, Green Valley, AZ 85614-1944 |
| Lynndoh Valmores | Nurse Practitioner | Specialists In Dermatology, Pllc | 2732 N Alvernon Way, Tucson, AZ 85712-1804 |
| John C Moseley | Dermatology | Specialists In Dermatology, Pllc | 2732 N Alvernon Way, Tucson, AZ 85712-1804 |
| William M Brennan | Physician Assistant | Specialists In Dermatology, Pllc | 1845 W Orange Grove Rd, Suite 105, Tucson, AZ 85704-1196 |
| Street Address |
1845 W ORANGE GROVE RD SUITE 105 |
| City | TUCSON |
| State | AZ |
| Zip | 85704-1196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Masha Mobbley | Nurse Practitioner | Specialists In Dermatology, Pllc | 1845 W Orange Grove Rd, Suite 105, Tucson, AZ 85704-1196 |
| Karin A Myers | Physician Assistant | Specialists In Dermatology, Pllc | 1845 W Orange Grove Rd, Suite 105, Tucson, AZ 85704-1196 |
| William M Brennan | Physician Assistant | Specialists In Dermatology, Pllc | 1845 W Orange Grove Rd, Suite 105, Tucson, AZ 85704-1196 |
| Linda C Barrows | Dermatology | Associated Dermatologists, P.C. | 1845 W Orange Grove Rd, Bldg 3 Suite 137, Tucson, AZ 85704-1146 |
| Darin A Bocian | Podiatry | 1845 W Orange Grove Rd, Suite 125, Tucson, AZ 85704-1146 | |
| Ludivina Baribeau | Nurse Practitioner | Specialists In Dermatology, Pllc | 1845 W Orange Grove Rd, Suite 105, Tucson, AZ 85704-1196 |
| Rebecca H Harper | Nurse Practitioner | Specialists In Dermatology, Pllc | 1845 W Orange Grove Rd, Suite 105, Tucson, AZ 85704-1196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Teubner | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Mohamed Coulibaly Dit Fall | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Jeneane M Keller | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Elisa N Gumm | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Kim A Greenwood | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Timothy R Berigan | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Victoria O Soyannwo | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Rainier Jose Diaz | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Baldassarre Stea | Radiation Oncology | Banner University Medical Group | 1891 W Orange Grove Rd, Tucson, AZ 85704-1116 |
| Mohammad R Khreiss | Surgical Oncology | Banner University Medical Group | 1891 W Orange Grove Rd, Bldg 1, Tucson, AZ 85704-1116 |
| Find all physicians in zip 85704 | |||
| City | TUCSON |
| Zip Code | 85704 |
| Specialty | DERMATOLOGY |
| City + Specialty | TUCSON + DERMATOLOGY |
Please comment or provide details below to improve the information on Alva J Bennett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.