Jason Wayne Bennett
STILLWATER MEDICAL CENTER AUTHORITY


Address: 1323 W 6th Ave, Stillwater, OK 74074-4306
Phone: 4053721480

Jason Wayne Bennett (NPI# 1558327924, PAC ID# 6406838317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1558327924
PAC ID by PECOS 6406838317
Professional Enrollment ID I20070710000644
Full Name Jason Wayne Bennett
Organization Legal Name STILLWATER MEDICAL CENTER AUTHORITY
Address 1323 W 6th Ave
Stillwater
OK 74074-4306
Phone Number 4053721480
Gender M
Credential CNA
Graduation Year 1995
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 2365353794
Number of Group Practice Members 126
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370049 STILLWATER MEDICAL CENTER

Other Locations

Address Phone Organization
1323 W 6th Ave, Stillwater, OK 74074-4306 4053721480 STILLWATER MEDICAL CENTER AUTHORITY

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name STILLWATER MEDICAL CENTER AUTHORITY
Physicians 110

Physicians with the same organization

Name Specialty Organization Address
Jaime Lyn Griffith Family Medicine Stillwater Medical Center Authority 600 S Linwood Ave A, Cushing Primary Care, Cushing, OK 74023-4630
Rahmah Hall Physician Assistant Stillwater Medical Center Authority 1412 Fir St, Perry, OK 73077-5036
Jeremiah Bro Nurse Practitioner Stillwater Medical Center Authority 1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381
Catherine Kindt Nurse Practitioner Stillwater Medical Center Authority 1815 W 6th Ave, Stillwater Med C Clinic W, Stillwater, OK 74074-2402
Julia K Fell Physician Assistant Stillwater Medical Center Authority 417 Fairview Ave, Ponca City, OK 74601-1923
Jon M Johnson Ii Internal Medicine Stillwater Medical Center Authority 608 S Hester, Stillwater, OK 74074-4516
Marshall A Walker Optometry Stillwater Medical Center Authority 707 S Western Rd, Stillwater, OK 74074-4126
Mindy A Mcgee Physician Assistant Stillwater Medical Center Authority 414 W Hwy 64, Morrison, OK 73061-9494
William R Ford Obstetrics/gynecology Stillwater Medical Center Authority 1411 W 7th Ave, 202 Sw Women's Clinic, Stillwater, OK 74074-4300
Robert W Lauvetz Urology Stillwater Medical Center Authority 816 S Pine St, Stillwater, OK 74074-4349

Office Location

Street Address 1323 W 6TH AVE
City STILLWATER
State OK
Zip 74074-4306

Physicians in the same location

Name Specialty Organization Address
Debra L Oday Nurse Practitioner South Central Emergency Services, PC 1323 W 6th Ave, Stillwater, OK 74074-4306
Inge Hayes Anesthesiology Stillwater Medical Center Authority 1323 W 6th Ave, Stillwater, OK 74074-4306
Matthew R Payne Internal Medicine Stillwater Medical Center Authority 1323 W 6th Ave, Stillwater, OK 74074-4306
Jason Beaver Physician Assistant Stillwater Medical Center Authority 1323 W 6th Ave, Stillwater, OK 74074-4306
Kenneth L Bates Certified Registered Nurse Anesthetist (crna) Stillwater Medical Center Authority 1323 W 6th Ave, Stillwater, OK 74074-4306
Mary Clarke Family Medicine Stillwater Medical Center Authority 1323 W 6th Ave, Stillwater, OK 74074-4306
David L Zinn Emergency Medicine South Central Emergency Services, PC 1323 W 6th Ave, Stillwater, OK 74074-4306
Amber N Burnett Nurse Practitioner South Central Emergency Services, PC 1323 W 6th Ave, Stillwater, OK 74074-4306
Eldon W Weeks Certified Registered Nurse Anesthetist (crna) Stillwater Medical Center Authority 1323 W 6th Ave, Stillwater, OK 74074-4306
Elizabeth J Biernat Anesthesiology Stillwater Medical Center Authority 1323 W 6th Ave, Stillwater, OK 74074-4306
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Charles R Horner Jr. Diagnostic Radiology Stillwater Radiology LLC 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549
Brandon R Mason Diagnostic Radiology Stillwater Radiology LLC 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549
Phillip G Russell Diagnostic Radiology Stillwater Radiology LLC 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549
Kenda G Baker Physician Assistant Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
Thomas C Hall Dermatology Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
Deanna J Cummings Physician Assistant Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
Sara K Metcalf Dermatology Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
J Weston H. Reese Chiropractic Reese Chiropractic and Wellness, P.C. 1505 S Sangre Rd, Stillwater, OK 74074-1869
Ashton Nicole Shelton Chiropractic Reese Chiropractic and Wellness, P.C. 1505 S Sangre Rd, Stillwater, OK 74074-1869
Jennifer Pauline Childers Clinical Social Worker Jennifer Childers Lcsw Counseling LLC 2324 W 7th Pl, Stillwater, OK 74074-1927
Find all physicians in zip 74074

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Dataset Information

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.

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