MEDICARE: DR. ARLENE PARSONS BENNETT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD029319L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1C 101871	OTHER	PA	HIGHMARK MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	2834801000	OTHER	PA	PERSONAL CHOICE & KEYSTON
3	2834801000	OTHER	PA	IBX
4	99715	OTHER	PA	CBH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003813981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARLENE PARSONS BENNETT M.D.

Provider Business Mailing Address
First Line	:	2101 BELMONT AVENUE
Second Line	:	APT 2108
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1659
Country	:	US
Telephone Number	:	215-205-9503
Fax Number	:	215-233-5371

Provider Business Practice Location Address
First Line	:	2101 BELMONT AVENUE
Second Line	:	APT 2108
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1659
Country	:	US
Telephone Number	:	215-205-9503
Fax Number	:	215-233-5371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/10/2024

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