MICHAEL WILLIAM BENNETT D.D.S.
NPI 1023376464
Student in an Organized Health Care Education/Training Program in Iowa City, IA

Active since April 23, 2012Opted out of Medicare · through Mar 9, 2027
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-1616 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael William Bennett D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL WILLIAM BENNETT D.D.S. (NPI 1023376464) is an individual student in an organized health care education/training program in Iowa City, Iowa and active in the NPI registry since April 2012. He has opted out of Medicare through March 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023376464
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL WILLIAM BENNETTCredential: D.D.S.
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (630) 988-0762
Sole ProprietorYes
Enumeration DateApril 23, 2012
Last NPPES UpdateJuly 9, 2012
NPI 1023376464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 HAWKINS DR, Iowa City, IA 52242

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Michael William Bennett D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 9, 2015 through March 9, 2027.

Opt-Out Effective DateMarch 9, 2015
Opt-Out In Effect ThroughMarch 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Bennett's NPI number?

The NPI number for Michael Bennett is 1023376464. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Michael Bennett located?

Michael Bennett practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-1616.

What is Michael Bennett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Bennett enrolled in Medicare?

No. Michael Bennett has opted out of Medicare through March 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Bennett accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Michael Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Bennett was last updated on July 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.