Matthew B Bentley (NPI# 1316144280, PAC ID# 0941493597) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1316144280 |
| PAC ID by PECOS | 0941493597 |
| Professional Enrollment ID | I20131112000388 |
| Full Name | Matthew B Bentley |
| Organization Legal Name | INDEPENDENT HEALTHCARE MANAGEMENT INC |
| Address |
330 N Broad St Forest MS 39074-3508 |
| Phone Number | 6014694151 |
| Gender | M |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840197232 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251300 | LACKEY MEMORIAL HOSPITAL |
| 250072 | MERIT HEALTH CENTRAL |
| Address | Phone | Organization |
|---|---|---|
| 330 N Broad St, Forest, MS 39074-3508 | 6014694151 | INDEPENDENT HEALTHCARE MANAGEMENT INC |
| 1850 Chadwick Dr, Jackson, MS 39204-3404 | 6013761111 | MISSISSIPPI HMA HOSPITALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | INDEPENDENT HEALTHCARE MANAGEMENT INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Otto | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| Meagan N Chaney | Nurse Practitioner | Independent Healthcare Management Inc | 9427 Eastside Dr Ext, Suite A, Newton, MS 39345-8063 |
| Gregory Myrick | Certified Registered Nurse Anesthetist (crna) | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| William Lewis | Family Medicine | Independent Healthcare Management Inc | 1 Medical Ln, Suite B, Forest, MS 39074-4039 |
| Elizabeth Pitts | Nurse Practitioner | Independent Healthcare Management Inc | 9427 Eastside Dr Ext, Suite A, Newton, MS 39345-8063 |
| Kathryn R Walker | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| Daniel M Walker | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| Matthew Flynn | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Phillip Lucas | Diagnostic Radiology | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Austin A Howard | Family Medicine | Independent Healthcare Management Inc | 1 Medical Ln, Suite B, Forest, MS 39074-4039 |
| Street Address |
330 N BROAD ST |
| City | FOREST |
| State | MS |
| Zip | 39074-3508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley W Lafferty | Certified Registered Nurse Anesthetist (crna) | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Jackson S Tucker | Anesthesiology Assistant | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Karen L Bramblett | Anesthesiology | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Aubrie D Ireland | Anesthesiology Assistant | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Gregory Myrick | Certified Registered Nurse Anesthetist (crna) | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Peter J Casano | Otolaryngology | Flowood River Oaks Hma Medical Group, LLC | 330 N Broad St, Forest, MS 39074-3508 |
| John Allen | Certified Registered Nurse Anesthetist (crna) | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Stacie N Persing | Certified Registered Nurse Anesthetist (crna) | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| James D Beeson | Anesthesiology | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Ginger B Whitted | Certified Registered Nurse Anesthetist (crna) | South Georgia Anesthesia Associates, PC | 330 N Broad St, Suite D2, Thomasville, GA 31792-5195 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley Thompson | Optometry | Southern Eye Care of Forest | 143 W 3rd St, Forest, MS 39074 |
| Matthew Flynn | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Phillip Lucas | Diagnostic Radiology | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Bernard G Harrell | Family Practice | 330 N Broad St, Lackey Hospital, Forest, MS 39074-3508 | |
| Jenna C Benge | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Corey L Shoemaker | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Keisha L Oliphant | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Ruth C Gaddis | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| Shelly R Boone | Nurse Practitioner | Independent Healthcare Management Inc | 330 N Broad St, Forest, MS 39074-3508 |
| William Lewis | Family Medicine | Independent Healthcare Management Inc | 1 Medical Ln, Suite B, Forest, MS 39074-4039 |
| Find all physicians in zip 39074 | |||
| City | FOREST |
| Zip Code | 39074 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FOREST + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Matthew B Bentley.
| 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.