| Dr Benjamin Mark Wahle, MD | |
|
4500 Forest Park Ave, Dept Otolaryngology, 5th Fl, Saint Louis, MO 63108-2114 | |
| (314) 362-7509 | |
| (888) 452-4025 |
| Full Name | Dr Benjamin Mark Wahle |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 8 Years |
| Location | 4500 Forest Park Ave, Saint Louis, Missouri |
| 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 |
|---|---|---|---|
| 1689194243 | NPI | - | NPPES |
| 200062195 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 2025019752 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 1024 |
| Entity Name | University Otolaryngology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275563447 PECOS PAC ID: 4587550645 Enrollment ID: O20040225000643 |
| Entity Name | Iu Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Mark Wahle, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 362-7509 | Dr Benjamin Mark Wahle, MD 4500 Forest Park Ave, Dept Otolaryngology, 5th Fl, Saint Louis, MO 63108-2114 Ph: (314) 362-7509 |
Mark F Stroble, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 12399 Gravois Rd, Ste 120, Saint Louis, MO 63127 Phone: 314-843-3828 Fax: 314-843-3052 | |
Arya W Namin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141 Phone: 314-251-6394 Fax: 314-251-4235 | |
Dr. Ethan Craig, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141 Phone: 314-251-6394 | |
Dr. Richard A Chole, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110 Phone: 314-454-6162 Fax: 314-454-2174 | |
Dr. Timothy J Reichert, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 621 S New Ballas Rd, Suite 622a, Saint Louis, MO 63141 Phone: 314-872-8340 Fax: 314-872-8399 | |
Ricky Chae, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000 | |
Dr. Matthew Lee Rohlfing, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Otolaryngology, Ste 11a, Saint Louis, MO 63110 Phone: 314-362-7509 Fax: 314-362-7522 |