| Benjamin David Ehst, MD, PHD | |
|
9495 Sw Locust St Ste A, Portland, OR 97223-6683 | |
| (036) 369-0115 | |
| Not Available |
| Full Name | Benjamin David Ehst |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 22 Years |
| Location | 9495 Sw Locust St Ste A, Portland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740320068 | NPI | - | NPPES |
| 220415 | Other | MD | JOHNS HOPKINS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD27612 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Broadway Medical Clinic Llp | 2466447610 | 17 |
| Entity Name | Broadway Medical Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720082316 PECOS PAC ID: 2466447610 Enrollment ID: O20040416001171 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin David Ehst, MD, PHD 9495 Sw Locust St Ste A, Portland, OR 97223-6683 Ph: (036) 369-0115 | Benjamin David Ehst, MD, PHD 9495 Sw Locust St Ste A, Portland, OR 97223-6683 Ph: (036) 369-0115 |
Dr. Alison Marie Small, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 503-418-3376 | |
Milie Fang, DO Dermatology Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239 Phone: 503-494-1375 | |
Bert G Tavelli, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210 Phone: 503-223-1933 Fax: 503-223-1947 | |
Natasha Fewkes Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4914 Sw 1st Ave, Portland, OR 97239 Phone: 310-701-8274 | |
Dr. Samuel Fritz Bremmer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 | |
Oluwadamilare Olalekan Ajayi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-418-3376 Fax: 503-494-6968 | |
Diane Romayne Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223 Phone: 503-471-0500 Fax: 503-471-0504 |