Justina Ashley Bennett (NPI# 1598946006, PAC ID# 8426229709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1598946006 |
| PAC ID by PECOS | 8426229709 |
| Professional Enrollment ID | I20110916000208 |
| Full Name | Justina Ashley Bennett |
| Organization Legal Name | TYRA D KANE MD |
| Address |
70 Thomas Johnson Dr Frederick MD 21702-4303 |
| Phone Number | 3016689393 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193889822 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210005 | FREDERICK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 70 Thomas Johnson Dr, Frederick, MD 21702-4303 | 3016689393 | TYRA D KANE MD |
| 70 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4303 | 3016689393 | TYRA D KANE MD |
| Organization Legal Name | TYRA D KANE MD |
| Physicians | 1 |
| Street Address |
70 THOMAS JOHNSON DR |
| City | FREDERICK |
| State | MD |
| Zip | 21702-4303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Winston Kossoff | Gastroenterology | David W. Kossoff, M.d., Pa | 70 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4317 |
| Erin Melissa Oman | Nurse Practitioner | David W. Kossoff, M.d., Pa | 70 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4317 |
| Lindsay Brooke Bitto | Nurse Practitioner | David W. Kossoff, M.d., Pa | 70 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kumudhini Hendrix | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Thomas S Davis | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Debra L Clise | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Lise Ricotta Asaro | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Susan M Allig | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Alan S Bronstein | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Jennifer Lyn Chen | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Dawn Renee Gill | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Allen Gilson | Pulmonary Disease | 6695 Stone Ridge Ct, Frederick, MD 21702-2989 | |
| Gary E Schreiber | Chiropractic | 1446 W Patrick St, Suite 14, Frederick, MD 21702-3277 | |
| Find all physicians in zip 21702 | |||
| City | FREDERICK |
| Zip Code | 21702 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FREDERICK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Justina Ashley 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.