| Benjamin L Proctor, MD | |
|
1109 Woodland Dr, Elizabethtown, KY 42701-2749 | |
| (270) 765-6066 | |
| (270) 737-2354 |
| Full Name | Benjamin L Proctor |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 17 Years |
| Location | 1109 Woodland Dr, Elizabethtown, Kentucky |
| 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 |
|---|---|---|---|
| 1184811077 | NPI | - | NPPES |
| R0908 | Other | KY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | R0908 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hardin Memorial Hospital | Elizabethtown, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Physicians Of Elizabethtown Psc | 8729050695 | 3 |
| Entity Name | Eye Physicians Of Elizabethtown Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245228204 PECOS PAC ID: 8729050695 Enrollment ID: O20040811000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin L Proctor, MD 1109 Woodland Dr, Elizabethtown, KY 42701-2749 Ph: (270) 765-6066 | Benjamin L Proctor, MD 1109 Woodland Dr, Elizabethtown, KY 42701-2749 Ph: (270) 765-6066 |
Donald Anthony Smith Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1109 Woodland Dr, Elizabethtown, KY 42701 Phone: 270-765-6066 Fax: 270-737-2354 | |
Christopher G Knight, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1109 Woodland Dr, Elizabethtown, KY 42701 Phone: 270-765-6066 Fax: 270-737-2354 | |
Zachary Hale Tarter, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnstown Rd Ste 102, Elizabethtown, KY 42701 Phone: 270-769-0099 |