| Benjamin Villacres Mori, MD | |
|
4433 Vestal Pkwy E, Vestal, NY 13850-3556 | |
| (607) 771-2220 | |
| Not Available |
| Full Name | Benjamin Villacres Mori |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 6 Years |
| Location | 4433 Vestal Pkwy E, Vestal, New York |
| 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 |
|---|---|---|---|
| 1548729528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 319875 (New York) | Primary |
| 207X00000X | Orthopaedic Surgery | 0101282795 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Medical Center | Roanoke, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Healthcare Corporation | 5890607253 | 445 |
| Carilion Medical Center | 9830096585 | 914 |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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: Medicare Enrolled 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: Accepting Medicare Assignments 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 |