Richard D Bennett (NPI# 1679910343, PAC ID# 2961638812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1679910343 |
| PAC ID by PECOS | 2961638812 |
| Professional Enrollment ID | I20140217000999 |
| Full Name | Richard D Bennett |
| Organization Legal Name | BIG HORN BASIN BONE AND JOINT, LLC |
| Address |
720 Lindsay Ln Suite C Cody WY 82414-4143 |
| Phone Number | 3075781955 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537266119 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 531312 | WEST PARK HOSPITAL DISTRICT |
| 531309 | NORTH BIG HORN HOSPITAL DISTRICT |
| 531310 | POWELL VALLEY HOSPITAL |
| 270004 | BILLINGS CLINIC HOSPITAL |
| 531304 | HOT SPRINGS COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 | 3075781955 | BIG HORN BASIN BONE AND JOINT, LLC |
| 720 Lindsay Ln, Cody, WY 82414-4143 | 3075781955 | BIG HORN BASIN BONE AND JOINT, LLC |
| 732 Lindsay Ln, Cody, WY 82414-4103 | 3075872139 | BIG HORN BASIN BONE AND JOINT, LLC |
| Organization Legal Name | BIG HORN BASIN BONE AND JOINT, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla E Nagle | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 400 S 15th St, Worland, WY 82401-3531 |
| Thomas H Etter | General Surgery | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Jennifer Lindsay Warner | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Rebecca Harris | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Craig J Edwards | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Rachel M Bracke | Internal Medicine | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Glen J Poffenbarger | Neurosurgery | Big Horn Basin Bone and Joint, LLC | 400 S 15th St, Worland, WY 82401-3531 |
| Kerry C Bower | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| John R Vipperman | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Street Address |
720 LINDSAY LN SUITE C |
| City | CODY |
| State | WY |
| Zip | 82414-4143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jimmie G Biles Jr. | Orthopedic Surgery | Yellowstone Sports Medicine and Bone and Joint Clinic,llc | 720 Lindsay Ln, B, Cody, WY 82414-4103 |
| Thomas H Etter | General Surgery | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Rebecca Harris | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Aaron Killpack | Family Medicine | Scl Health Medical Group - Billings LLC | 720 Lindsay Ln, Suite A, Cody, WY 82414-4143 |
| Rachel M Bracke | Internal Medicine | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Kerry C Bower | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Cody Nielson | Nurse Practitioner | Scl Health Medical Group - Billings LLC | 720 Lindsay Ln, Suite A, Cody, WY 82414-4143 |
| Jeffrey S Zavala | Family Practice | Scl Health Medical Group - Billings LLC | 720 Lindsay Ln, Suite A, Cody, WY 82414-4143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen L Gee | Neurology | Frontier Neurosciences, LLC | 907 Platinum Ave, Cody, WY 82414 |
| Lauren Jade Seitz | Physician Assistant | Frontier Neurosciences, LLC | 907 Platinum Ave, Cody, WY 82414 |
| Karen Sue Bond | Qualified Speech Language Pathologist | 502 19th St, Cody, WY 82414-3325 | |
| Susan Nannenga | Speech Language Pathologist | Progressive Therapy Services, Inc. | 502 19th St, Cody, WY 82414-3325 |
| Gregory H Cross Jr. | Diagnostic Radiology | Yellowstone Radiology PC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Gregory G Marino | Medical Oncology | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Kim L Slight | Internal Medicine | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Catherine C Schmidt | Anesthesiology | Wyoming Perioperative Anesthesia Consultants LLC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Robert R Lang | Physician Assistant | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Stephanie L Knodel | Emergency Medicine | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Find all physicians in zip 82414 | |||
| City | CODY |
| Zip Code | 82414 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CODY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Richard D 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.