| Dr Michael George Benne Jr, MD | |
|
504 Nw 10th Ave., Ava, MO 65608 | |
| (417) 683-4831 | |
| (417) 683-1602 |
| Full Name | Dr Michael George Benne Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 504 Nw 10th Ave., Ava, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982786471 | NPI | - | NPPES |
| 4120779 | Other | TN | BCBS OF TN |
| 3337428 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD0000034580 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 2009035422 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael George Benne Jr, MD Po Box 1359, Ava, MO 65608 Ph: (417) 683-4831 | Dr Michael George Benne Jr, MD 504 Nw 10th Ave., Ava, MO 65608 Ph: (417) 683-4831 |
Holli K Ruby, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 504 Nw 10th Ave., Ava, MO 65608 Phone: 417-683-4831 Fax: 417-683-1602 | |
Christine Gentry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 806 Sw Collins Ave, Ava, MO 65608 Phone: 417-269-2293 Fax: 417-269-2296 | |
Dr. Michael David Ball, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 504 Nw 10th Ave., Ava, MO 65608 Phone: 417-683-4831 | |
Dr. Augusta Ellice Hays, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 504 W. Broadway Ave., Ava, MO 65608 Phone: 417-683-5739 |