Charles W Bennett (NPI# 1386614469, PAC ID# 6103940440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1386614469 |
| PAC ID by PECOS | 6103940440 |
| Professional Enrollment ID | I20100824000533 |
| Full Name | Charles W Bennett |
| Organization Legal Name | CALVERTHEALTH MEDICAL GROUP, LLC |
| Address |
11845 Hg Trueman Rd Lusby MD 20657-2855 |
| Phone Number | 4103266344 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2163562695 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210039 | CALVERTHEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11845 Hg Trueman Rd, Lusby, MD 20657-2855 | 4103266344 | CALVERTHEALTH MEDICAL GROUP, LLC |
| 100 Hospital Rd, Prince Frederick, MD 20678-4017 | CALVERTHEALTH MEDICAL GROUP, LLC | |
| 110 Hospital Rd, Prince Frederick, MD 20678-4039 | CALVERTHEALTH MEDICAL GROUP, LLC | |
| 14090 Hg Trueman Rd, Solomons, MD 20688-3151 | CALVERTHEALTH MEDICAL GROUP, LLC |
| Organization Legal Name | CALVERTHEALTH MEDICAL GROUP, LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Katkhouda | Nurse Practitioner | Calverthealth Medical Group, LLC | 10845 Town Ctr Blvd, Suite 102, Dunkirk, MD 20754-2712 |
| Hilary W Ginter | Obstetrics/gynecology | Calverthealth Medical Group, LLC | 110 Hospital Rd, Suite 203, Prince Frederick, MD 20678-4045 |
| Melissa M Stoner | Family Medicine | Calverthealth Medical Group, LLC | 8924 Chesapeake Ave, North Beach, MD 20714-4050 |
| Kimberly E Cook | Nurse Practitioner | Calverthealth Medical Group, LLC | 14090 Hg Trueman Rd, Suite 2600, Solomons, MD 20688-3151 |
| Theodore Tsangaris | General Surgery | Calverthealth Medical Group, LLC | 130 Hospital Rd, Suite 201, Prince Frederick, MD 20678-4055 |
| Michelle A Folsom | Family Medicine | Calverthealth Medical Group, LLC | 100 Hospital Rd, Prince Frederick, MD 20678-4017 |
| Lacy T Pitman | Nurse Practitioner | Calverthealth Medical Group, LLC | 100 Hospital Rd, Prince Frederick, MD 20678-4017 |
| Bilal Ahmed | Hematology/oncology | Calverthealth Medical Group, LLC | 100 Hospital Rd, Prince Frederick, MD 20678-4017 |
| Wen C Liang | General Surgery | Calverthealth Medical Group, LLC | 100 Hospital Rd, Prince Frederick, MD 20678-4017 |
| Aparajita K Mahata | Obstetrics/gynecology | Calverthealth Medical Group, LLC | 100 Hospital Rd, Prince Frederick, MD 20678-4017 |
| Street Address |
11845 HG TRUEMAN RD |
| City | LUSBY |
| State | MD |
| Zip | 20657-2855 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie B Gateau | Physical Therapy | Gateau Physical Therapy | 11855 Hg Trueman Rd, Lusby, MD 20657-2855 |
| Danielle M Leclerc | Physical Therapy | Gateau Physical Therapy | 11855 Hg Trueman Rd, Lusby, MD 20657-2855 |
| Lindsay M Lavato | Physical Therapy | Gateau Physical Therapy | 11855 Hg Trueman Rd, Lusby, MD 20657-2855 |
| Amanda Cipriani | Clinical Social Worker | Calvert County Health Department | 20 Appeal Ln, Lusby, MD 20657-2935 |
| Dawn M Edwards | Clinical Social Worker | Blue Sails Counseling and Consulting Inc | 225 Town Square Dr, Suite 3, Lusby, MD 20657-6535 |
| Velea R Kelley | Clinical Social Worker | Blue Sails Counseling and Consulting Inc | 225 Town Square Dr, Suite 3, Lusby, MD 20657-6535 |
| City | LUSBY |
| Zip Code | 20657 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LUSBY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Charles W 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.