| Dr Benjamin W Light, MD, FACS | |
|
1218 13th Ave Se, Decatur, AL 35601-4307 | |
| (256) 355-6200 | |
| (256) 355-6241 |
| Full Name | Dr Benjamin W Light |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 31 Years |
| Location | 1218 13th Ave Se, Decatur, Alabama |
| 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 |
|---|---|---|---|
| 1760463632 | NPI | - | NPPES |
| 051512384 | Medicaid | AL | |
| 515-12384 | Other | AL | BCBS |
| CM6320 | Other | AL | RAILROAD MEDICARE |
| P00017388 | Other | AL | RAILROAD MEDICARE |
| 051512384 | Other | AL | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 00024976 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Morgan Hospital - Decatur Campus | Decatur, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur Ent Associates Pc | 2163478629 | 5 |
| Entity Name | Decatur Ent Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164487708 PECOS PAC ID: 2163478629 Enrollment ID: O20050328000748 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin W Light, MD, FACS 1218 13th Ave Se, Decatur, AL 35601-4307 Ph: (256) 355-6200 | Dr Benjamin W Light, MD, FACS 1218 13th Ave Se, Decatur, AL 35601-4307 Ph: (256) 355-6200 |
Dr. Sage Kinney Copeland, M.D., F.A.C.S. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1218 13th Ave Se, Decatur, AL 35601 Phone: 256-355-6200 Fax: 256-355-6241 | |
Dr. George H Godwin Iii, M.D., F.A.C.S. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1218 13th Ave Se, Decatur, AL 35601 Phone: 256-355-6200 Fax: 256-355-6241 |