Benjamin Wibonele, MD in Puyallup, WA - Medicare Otolaryngology

Benjamin Wibonele, MD is a medicare enrolled "Otolaryngology" physician in Puyallup, Washington. He went to Morehouse School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Proliance Surgeons Inc P S and his current practice location is 104 27th Ave Se, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 770-9000.

Benjamin Wibonele is licensed to practice in Washington (license number MD61666933) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285255448.

Contact Information

	Benjamin Wibonele, MD
	104 27th Ave Se, Puyallup, WA 98374-1145
	(253) 770-9000
	(253) 770-9712

Map and Direction

Physician's Profile

Full Name	Benjamin Wibonele
Gender	Male
Speciality	Otolaryngology
Experience	6 Years
Location	104 27th Ave Se, Puyallup, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Benjamin Wibonele attended and graduated from Morehouse School Of Medicine in 2020

NPI Data:

NPI Number: 1285255448
Provider Enumeration Date: 04/29/2020
Last Update Date: 08/04/2025

Medicare PECOS Information:

PECOS PAC ID: 6709385446
Enrollment ID: I20250819002261

Medical Identifiers

Medical identifiers for Benjamin Wibonele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285255448	NPI	-	NPPES
2338134	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0901X	Otolaryngology - Otology & Neurotology	MD61666933 (Washington)	Secondary
207Y00000X	Otolaryngology	MD61666933 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Swedish Medical Center / Cherry Hill	Seattle, WA	Hospital
Multicare Good Samaritan Hospital	Puyallup, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Proliance Surgeons Inc P S	8527972900	398

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Wibonele is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Benjamin Wibonele, MD Po Box 1205, Puyallup, WA 98371-0231 Ph: (253) 770-9000	Benjamin Wibonele, MD 104 27th Ave Se, Puyallup, WA 98374-1145 Ph: (253) 770-9000

Reviews and Comments

Otolaryngology Doctors in Puyallup, WA

Dr. Todd Dwyer Jones, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712
Dr. Dennis R. Elonka, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6415 82nd St E, Puyallup, WA 98371 Phone: 253-691-0823
Vivian Mae Yu, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712
Julie Allina Gustafson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-848-0368 Fax: 253-435-4937
Randall Paul Bennett, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712
Douglas D Backous, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712

Benjamin Wibonele, MD - Medicare Otolaryngology in Puyallup, WA