| Dr Eric Olson Benner, MD | |
|
26800 Crown Valley Pkwy Ste 315, Mission Viejo, CA 92691-8039 | |
| (949) 364-6000 | |
| (949) 364-1204 |
| Full Name | Dr Eric Olson Benner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 26800 Crown Valley Pkwy Ste 315, Mission Viejo, California |
| 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 |
|---|---|---|---|
| 1063648343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A107675 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence At Home With Compassus Home Health Orange County | Anaheim, CA | Home health agency |
| Providence At Home With Compassus Home Health, Orange County South | Irvine, CA | Home health agency |
| Green Meadows Home Health Care, Inc | Santa ana, CA | Home health agency |
| Home Health Plus Services, Inc | Arcadia, CA | Home health agency |
| Providence Mission Hospital | Mission viejo, CA | Hospital |
| Memorialcare Saddleback Medical Center | Laguna hills, CA | Hospital |
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cognacare Neurologic Inc | 4981125531 | 17 |
| Providence Medical Foundation | 8921993205 | 1461 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Entity Name | Cognacare Neurologic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902603905 PECOS PAC ID: 4981125531 Enrollment ID: O20250311003332 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Olson Benner, MD 26800 Crown Valley Pkwy Ste 315, Mission Viejo, CA 92691-8039 Ph: (949) 364-6000 | Dr Eric Olson Benner, MD 26800 Crown Valley Pkwy Ste 315, Mission Viejo, CA 92691-8039 Ph: (949) 364-6000 |
Amy Thu Bui, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite 230, Mission Viejo, CA 92691 Phone: 949-542-8004 Fax: 949-364-3682 |
Michael Pm Truong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite 230, Mission Viejo, CA 92691 Phone: 949-364-3330 Fax: 949-364-3682 |
Erene Nawar Sami, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 485, Mission Viejo, CA 92691 Phone: 949-364-5830 |
Dr. Paul A Wehrle, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy., Suite 100, Mission Viejo, CA 92691 Phone: 949-364-6000 Fax: 949-364-1647 |
Dr. Brett Michael Wertman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27800 Medical Center Rd, Suite 222, Mission Viejo, CA 92691 Phone: 949-276-2446 Fax: 949-276-2449 |
Dr. Richard Jacob, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy, Suite 250, Mission Viejo, CA 92691 Phone: 949-364-3570 Fax: 949-364-3430 |
Dawn Terese Tanner, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-7744 |