| Dr Benjamin Thomas Gielda, MD | |
|
1234 Napier Ave, Saint Joseph, MI 49085-2112 | |
| (269) 983-8888 | |
| Not Available |
| Full Name | Dr Benjamin Thomas Gielda |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 19 Years |
| Location | 1234 Napier Ave, Saint Joseph, Michigan |
| 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 |
|---|---|---|---|
| 1386801496 | NPI | - | NPPES |
| 1386801496 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0203X | Radiology - Therapeutic Radiology | 125051 (Illinois) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 4301101556 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Medical Practices | 1658427042 | 252 |
| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Entity Name | Dlp Marquette Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Thomas Gielda, MD 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 983-8888 | Dr Benjamin Thomas Gielda, MD 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 983-8888 |
Mrs. Harpreet K Judge, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8300 Fax: 269-983-6955 |