Kinneathea D Bennett (NPI# 1902346141, PAC ID# 3971870684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902346141 |
| PAC ID by PECOS | 3971870684 |
| Professional Enrollment ID | I20170601000256 |
| Full Name | Kinneathea D Bennett |
| Organization Legal Name | REGENCY IHS NPS LLC |
| Address |
1219 Eastwood Dr Seguin TX 78155-5133 |
| Phone Number | 3379919276 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749529766 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450104 | GUADALUPE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1210 Eastwood Dr, Seguin, TX 78155-5134 | 3379919276 | REGENCY IHS NPS LLC |
| 1219 Eastwood Dr, Seguin, TX 78155-5133 | 3379919276 | REGENCY IHS NPS LLC |
| Organization Legal Name | REGENCY IHS NPS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa M Billue | Nurse Practitioner | Regency Ihs Nps LLC | 3201 N Ware Rd, Mcallen, TX 75801-3305 |
| Mechelle D Bastian | Nurse Practitioner | Regency Ihs Nps LLC | 169 Medical Dr, Pearsall, TX 78061-6604 |
| Street Address |
1219 EASTWOOD DR |
| City | SEGUIN |
| State | TX |
| Zip | 78155-5133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Steven White | Orthopedic Surgery | 280 S King, Seguin, TX 78155 | |
| Melchor D Villarreal | Clinical Social Worker | Autumn View Alliance, LLC | 131 Mckinley Rd, Seguin, TX 78155-0480 |
| Mary L Trevino | Psychologist, Clinical | Autumn View Alliance, LLC | 131 Mckinley Rd, Seguin, TX 78155-0480 |
| Susan L Boullioun | Family Medicine | 113 E Cedar St, Seguin, TX 78155-3709 | |
| Dominic Anthony Scaramozi | Chiropractic | 1300 N King St, Pecan Country Chiropractic, Seguin, TX 78155-3820 | |
| Pamela A Tackett | Chiropractic | 1367 E College St, Seguin, TX 78155-3962 | |
| Charles J White | Podiatry | 1345 E College St, Seguin, TX 78155-3962 | |
| John M Flanagan | Chiropractic | 757 N Hwy 123 Bypass, Seguin, TX 78155-3986 | |
| Tom H Raetzsch | Family Medicine | 1025 N Austin St, Seguin, TX 78155-4517 | |
| Teresa L Quebedeaux Farnham | Podiatry | 1345 E College St, Seguin, TX 78155-4562 | |
| Find all physicians in zip 78155 | |||
| City | SEGUIN |
| Zip Code | 78155 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SEGUIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kinneathea D 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.