Individual ProviderChristopher BennettNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1101 Opal Ct Ste 311, Hagerstown, MD 21740-5943(240) 222-5996(865) 804-4067PECOS EnrollmentBased on the most recent information from CMS, provider Christopher Bennett is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437475134Provider TypeIndividualFull NameBennett, ChristopherCredentialNPGenderMaleSole ProprietorNoEnumeration Date4/20/2010Last Updated1/9/2024Contact InformationPractice LocationPractice Address1101 Opal Ct Ste 311, Hagerstown, MD 21740-5943Phone(240) 222-5996FaxUnlisted FaxMailing LocationMailing Address18348 Spark Dr Ste 201-117, Hagerstown, MD 21740-2085Phone(865) 804-4067FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR204665Maryland