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 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Intermountain Healthcare 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 | 8 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 |
|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3063 |
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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