Michael L Bennett, D. C.
Individual provider Active NPI Chiropractor · Crystal River, FL
NPI 1497780951 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497780951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH00005987 (FL)
- Practice address
- 375 NE 10TH Ave
Crystal River, FL 34429 - Phone
- (352) 563-6471
- Fax
- (352) 863-5062
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
375 NE 10TH Ave
Crystal River, FL 34429-4456
Phone (352) 563-6471
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120112000712 | FL | Practitioner - Chiropractic | 9537335724 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00005987 | FL | MD | Chiropractor |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benkay Inc | Chiropractor | Current |
Accepting new patients |
| Dr Thomas Myers and Associates LLC | Chiropractor | Past |
Accepting new patients |
Locations
375 NE 10th Ave
Crystal River, FL 34429
Phone (352) 563-6471
Networks
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00005987 | FL | Yes |
Addresses
Primary practice location
375 NE 10TH Ave
Crystal River, FL 34429
Mailing address
375 NE 10TH Ave
Crystal River, FL 34429
Phone (352) 563-6471
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22976 | Other | FL | BLUE CROSS |
Other providers in Crystal River, FL
- Bayside Orthotics LLC
- Catherine Bell
- Bella Sudore, PLLC
- Thomas F Bendowski
- Benkay Inc
- Lauren Benoit
- Alexis R Bergan-Guzman
- Robert Matthew Berger
- Tracy Ann Bernzott
- Better Health Chiropractic PA
All providers in Crystal River, FL · Chiropractor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.