| Benjamin Shore, MD | |
|
100 Paramount Blvd, Orwigsburg, PA 17961-2202 | |
| (484) 658-5758 | |
| (484) 526-4091 |
| Full Name | Benjamin Shore |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 9 Years |
| Location | 100 Paramount Blvd, Orwigsburg, Pennsylvania |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902339013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD476511 (Pennsylvania) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Meadville Medical Center | Meadville, PA | Hospital |
| Entity Name | Meadville Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619236056 PECOS PAC ID: 9638078504 Enrollment ID: O20040108000834 |
| Entity Name | Titusville Area Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1891899332 PECOS PAC ID: 8022907575 Enrollment ID: O20141125001487 |
| Entity Name | Titusville Area Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1316471212 PECOS PAC ID: 8022907575 Enrollment ID: O20171215001417 |
| Entity Name | Titusville Area Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811589963 PECOS PAC ID: 8022907575 Enrollment ID: O20210331000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Shore, MD 100 Paramount Blvd, Orwigsburg, PA 17961-2202 Ph: (484) 658-5758 | Benjamin Shore, MD 100 Paramount Blvd, Orwigsburg, PA 17961-2202 Ph: (484) 658-5758 |
Carole Ann Vincent, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1165 Centre Tpke, Orwigsburg, PA 17961 Phone: 570-968-1300 Fax: 570-968-1305 |
Michael David Lado, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1828 Ridgewood Rd, Orwigsburg, PA 17961 Phone: 570-573-3001 Fax: 570-366-2304 |
Dr. Calogero Dimaggio, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Paramount Blvd, Orwigsburg, PA 17961 Phone: 610-868-1100 Fax: 610-868-1111 |