Jeremy Jon Bennett, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

04-32876 Issued in KS

Practice address

1823 College Ave
Manhattan, KS 66502-3381

Phone

(785) 776-2800

Fax

(785) 565-4754

NPI assigned

May 8, 2007

Last updated

Apr 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sound Physicians Emergency Medicine of Kansas LLCGroup PAC ID 6800141672, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sound Physicians Emergency Medicine of Kansas, LLC

  • Emergency Medicine Physician
  • Manhattan, KS
  • NPI 1831689934
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Physicians of Lenoir County PLLC

  • Emergency Medicine Physician
  • Kinston, NC
  • NPI 1518906478
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1982817847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-776-2800",
            "fax_number": "785-565-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-776-2800",
            "fax_number": "785-565-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JEREMY",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-32876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Bell, DDS
• Martin J Bell, M.D.
• Josefa Ben-Arieh
• Connor William Bennett, MS, LAT, ATC
• Heather E Bennett, M.D.
• Kalie Bennett
• Stefanie L Bennett, APRN
• Suzanne Meissner Bennett, M.D.
• Allison Richene Benoit, NP
• Codi Jo Benologa, LSCSW

• Emergency Medicine Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Emergency Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.