Blake Bennett (NPI# 1548234115, PAC ID# 2365524675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1548234115 |
| PAC ID by PECOS | 2365524675 |
| Professional Enrollment ID | I20080125000235 |
| Full Name | Blake Bennett |
| Address |
1727 T P White Dr Jacksonville AR 72076-2861 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1727 T P White Dr, Jacksonville, AR 72076-2861 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
| Street Address |
1727 T P WHITE DR |
| City | JACKSONVILLE |
| State | AR |
| Zip | 72076-2861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haley N Wilson | Optometry | Justin S. Mcminn, O.d.,p.a. | 2650 John Harden, Suite D, Jacksonville, AR 72076-1886 |
| Justin S Mcminn | Optometry | Justin S. Mcminn, O.d.,p.a. | 2650 John Harden, Suite D, Jacksonville, AR 72076-1886 |
| Jessica Anderson | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 1813 T P White Dr, Jacksonville, AR 72076-2850 |
| Sherita A Lee | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 1813 T P White Dr, Jacksonville, AR 72076-2850 |
| Rebecca Joe Brooks | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 1813 T P White Dr, Jacksonville, AR 72076-2850 |
| Phillip A Baldwin | Clinical Social Worker | Families, Inc of Arkansas | 2126 N 1st St, Suite F, Jacksonville, AR 72076-2868 |
| Thomas A Bartole | Physical Therapy | 2126 N 1st St, Suite I, Jacksonville, AR 72076-2868 | |
| Christy M Kelly | Clinical Social Worker | Families, Inc of Arkansas | 2126 N 1st St, Suite F, Jacksonville, AR 72076-2868 |
| Justin W Keathley | Clinical Social Worker | Families, Inc of Arkansas | 2126 N 1st St, Suite F, Jacksonville, AR 72076-2868 |
| Stacie R Smith | Physician Assistant | Arkansas Quick Care Pa | 1101 N James St, Jacksonville, AR 72076-3119 |
| Find all physicians in zip 72076 | |||
| City | JACKSONVILLE |
| Zip Code | 72076 |
| Specialty | CHIROPRACTIC |
| City + Specialty | JACKSONVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Blake 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.