Mr Matthew Lawrence Benish, PA-C, RD is a medicare enrolled "Physician Assistant" provider in Wisconsin Rapids, Wisconsin. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ihc Health Services Inc and his current practice location is
555 W Grand Ave, B-2, Wisconsin Rapids, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 424-4682.
Mr Matthew Lawrence Benish is licensed to practice in Wisconsin (license number 3895 - 23) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104360650.
Healthcare Provider's Profile
| Full Name | Mr Matthew Lawrence Benish |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 555 W Grand Ave, Wisconsin Rapids, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Matthew Lawrence Benish graduated from medical school in 2016
NPI Data:
- NPI Number: 1104360650
- Provider Enumeration Date: 12/16/2016
- Last Update Date: 12/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 7911277538
- Enrollment ID: I20221219001931
Medical Identifiers
Medical identifiers for Mr Matthew Lawrence Benish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104360650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1071971 (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 3895 - 23 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ihc Health Services Inc | 1850209420 | 3531 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Matthew Lawrence Benish is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Matthew Lawrence Benish, PA-C, RD
500 E Veterans St,
Tomah, WI 54660-3105
Ph: () - | Mr Matthew Lawrence Benish, PA-C, RD
555 W Grand Ave, B-2,
Wisconsin Rapids, WI 54495
Ph: (715) 424-4682 |
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