Individual ProviderSeth Alan BennettCase Manager/Care CoordinatorOther Service ProvidersPractice Address301a Washington, Camden, AR 71701(870) 836-2321PECOS EnrollmentBased on the most recent information from CMS, provider Seth Alan Bennett does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1316220932Provider TypeIndividualFull NameBennett, Seth AlanGenderMaleSole ProprietorNoEnumeration Date9/20/2011Last Updated9/20/2011Contact InformationPractice LocationPractice Address301a Washington, Camden, AR 71701Phone(870) 836-2321Fax(870) 837-1195Mailing LocationMailing Address301a Washington, Camden, AR 71701Phone(870) 836-2321Fax(870) 837-1195Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID174662526DescriptionMedicaidIssuerUnlistedArkansas