| Dr Benston Daniel Johnson, DO | |
|
12310 Crestridge Loop, Trinity, FL 34655-0028 | |
| (727) 373-8678 | |
| Not Available |
| Full Name | Dr Benston Daniel Johnson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 12310 Crestridge Loop, Trinity, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760653125 | NPI | - | NPPES |
| 002891500 | Medicaid | FL |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benston Daniel Johnson, DO 12310 Crestridge Loop, Trinity, FL 34655-0028 Ph: (727) 373-8678 | Dr Benston Daniel Johnson, DO 12310 Crestridge Loop, Trinity, FL 34655-0028 Ph: (727) 373-8678 |
Victoria Basile, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9330 Fl-54, Trinity, FL 34655 Phone: 727-834-4000 |
Ramya Pinnamaneni, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9320 State Road 54, Trinity, FL 34655 Phone: 727-842-8411 |
Mr. Sivakumar V Amar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3535 Little Road, Trinity, FL 34655 Phone: 727-375-0848 Fax: 727-375-5548 |
Mr. Jeffrey Scott Vasta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3633 Little Road, Suite 101, Trinity, FL 34655 Phone: 727-375-2222 Fax: 866-244-2335 |
Ghiath Kashlan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8835 Hawbuck St, Trinity, FL 34655 Phone: 813-792-1900 Fax: 855-287-7006 |
Timothy Petru Beuca, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 9330 State Road 54, Trinity, FL 34655 Phone: 727-834-4830 |
Mazen Abusamaan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9330 State Road 54, Trinity, FL 34655 Phone: 727-834-4000 |