Ebonique T Bennett
NP | Nurse Practitioner - Adult Health | 14+ years Exp
10 Saint Patricks Dr, Waldorf
Maryland, 20603-4527
301-373-7900
Accepts Medicare Nurse Anesthetist in Waldorf, Maryland.Ebonique T Bennett is a Waldorf, Maryland based nurse practitioner with 14 years of experience in Adult Health. She completed her graduation in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ebonique T Bennett is 305905 for Adult Health in New York. Her current practice location is 10 Saint Patricks Dr, Waldorf. Patients can reach her at 301-373-7900 or can fax her at 301-373-6900. Ebonique T Bennett is NP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1972871523.
Ebonique T Bennett can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Ebonique T Bennett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ebonique T Bennett |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 14+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2011 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 10 Saint Patricks Dr, Waldorf, Maryland, 20603-4527 |
| Phone: | 301-373-7900 |
| Fax: | 301-373-6900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4981856804 |
| Enrollment ID: | I20191011000205 |
| NPI Number: | 1972871523 |
| NPI Enumeration Date: | 11 Dec, 2011 |
| NPI Last Update On: | 09 Dec, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ebonique T Bennett are as mentioned below.
| License Number | Specialization | State | Status | |
| 305905 | Adult Health | New York | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ebonique T Bennett is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Medstar Medical Group Southern Maryland Llc (1355667056) | 176 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ebonique T Bennett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 840027000 | Medicaid | Maryland | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ebonique T Bennett 10 Saint Patricks Dr, Waldorf, Maryland |
| Zip: | 20603-4527 |
| Phone Number: | 301-373-7900 |
| Fax Number: | 301-373-6900 |
Patients can reach Ebonique T Bennett at
10 Saint Patricks Dr, Waldorf, Maryland or can
call to book an appointment on 301-373-7900.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.