Justin M Bennett (NPI# 1558590042, PAC ID# 1153578273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1558590042 |
| PAC ID by PECOS | 1153578273 |
| Professional Enrollment ID | I20120824000495 |
| Full Name | Justin M Bennett |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Address |
1370 W D St North Wilkesboro NC 27659-3506 |
| Phone Number | 3366518100 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4486564952 |
| Number of Group Practice Members | 1931 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340064 | WILKES REGIONAL MEDICAL CENTER |
| 341323 | CHARLES A CANNON JR MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1240 Huffman Mill Rd, Burlington, NC 27215-8700 | 3367162255 | WAKE FOREST EMERGENCY PROVIDERS |
| 1370 W D St, North Wilkesboro, NC 27659-3506 | 3366518100 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Physicians | 1979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Joyce Kemp | Certified Nurse Midwife (cnm) | Wake Forest University Health Sciences | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 |
| Purvi Dilip Surti | Nurse Practitioner | Wake Forest University Health Sciences | 611 N Lindsay St, Suite 200, High Point, NC 27262-4318 |
| Luke Daniel Spencer | Family Medicine | Wake Forest University Health Sciences | 3020 Bonbrook Dr, Winston Salem, NC 27106-3020 |
| Randall Stephan Conrad | Internal Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Jessica Alexis Savas | Dermatology | Wake Forest University Health Sciences | 4618 Country Club Rd, Winston Salem, NC 27104-3520 |
| Kaila Renea Haskins | Nurse Practitioner | Wake Forest University Health Sciences | 618 S Main St, Reidsville, NC 27320-5020 |
| Kandi Byrd Sams | Nurse Practitioner | Wake Forest University Health Sciences | 799 Hickory Tree Rd, Suite B, Winston-salem, NC 27127-9243 |
| Cory Aaron Alcon | Physical Therapy | Wake Forest University Health Sciences | 755 Highland Oaks Dr, Suite 240, Winston Salem, NC 27103-7106 |
| Brandy Lanette Younts-davis | Nurse Practitioner | Wake Forest University Health Sciences | 306 Westwood Ave, Suite 401, High Point, NC 27262-4342 |
| David A Crowe | Family Medicine | Wake Forest University Health Sciences | 171 W Wilkes Medical Ctr Rd, Ferguson, NC 28624-8925 |
| Street Address |
1370 W D ST |
| City | NORTH WILKESBORO |
| State | NC |
| Zip | 27659-3506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suma Menon | Hospitalist | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Nathan Grant Davis | Emergency Medicine | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Mira Margaret Boone | Hospitalist | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Simanta Dutta | Hospitalist | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Hanumantha R Jogu | Hospitalist | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Jonathan G Austin | Emergency Medicine | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Joshua I Troyer | Certified Registered Nurse Anesthetist (crna) | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Christopher Ashby Macleod Davis | Emergency Medicine | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| David Nabil Girguis | Hospitalist | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Pankaj Kumar | Hospitalist | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Lewis Korn | Emergency Medicine | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| John J Riedel Jr. | Certified Registered Nurse Anesthetist (crna) | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Abhishek Dutta | Hospitalist | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| John L Waller | Certified Registered Nurse Anesthetist (crna) | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Lance Henninger | Emergency Medicine | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Grace Lee Henninger | Hospitalist | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Blake Chandler Briggs | Emergency Medicine | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Jason Eugene Yockey | Certified Registered Nurse Anesthetist (crna) | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Sandy Casey | Certified Registered Nurse Anesthetist (crna) | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Harsh Vinubhai Barot | Hospitalist | Wake Forest University Health Sciences | 1370 W D St, North Wilkesboro, NC 27659-3506 |
| Find all physicians in zip 27659 | |||
| City | NORTH WILKESBORO |
| Zip Code | 27659 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NORTH WILKESBORO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Justin M 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.