Benjamin Villacres Mori, MD | |
4433 Vestal Pkwy E, Vestal, NY 13850-3556 | |
(607) 771-2220 | |
Not Available |
Full Name | Benjamin Villacres Mori |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 4433 Vestal Pkwy E, Vestal, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548729528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 319875 (New York) | Primary |
207X00000X | Orthopaedic Surgery | 0101282795 (Virginia) | Secondary |
Entity Name | Carilion Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
Entity Name | Carilion Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
Entity Name | Carilion Rockbridge Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20040820000838 |
Mailing Address | Practice Location Address |
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Benjamin Villacres Mori, MD 33 Lewis Rd, Fl 2, Binghamton, NY 13905 Ph: (607) 770-0025 | Benjamin Villacres Mori, MD 4433 Vestal Pkwy E, Vestal, NY 13850-3556 Ph: (607) 771-2220 |
Dr. Olukemi O. Fajolu, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4433 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-771-2220 | |
Dr. Farouq Al-khalidi, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4500 Vestal Rd, Vestal, NY 13850 Phone: 607-729-6226 | |
Amanda Krupka, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4433 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-771-2220 | |
Dr. Richard Allan Stram, MD, FACS Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 508 Murray Hill Rd, Vestal, NY 13850 Phone: 607-729-6698 | |
Dr. Regina M Meis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4433 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-771-2220 |