| Dr Jorge D Benito, DO | |
| 1138 Lexington Rd Ste 110, Georgetown, KY 40324-9673 | |
| (502) 570-3754 | |
| (502) 570-3456 | 
| Full Name | Dr Jorge D Benito | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery | 
| Location | 1138 Lexington Rd Ste 110, Georgetown, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154821080 | NPI | - | NPPES | 
| 7100971460 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 34.016480 (Ohio) | Secondary | 
| 207X00000X | Orthopaedic Surgery | TP119 (Kentucky) | Secondary | 
| 207X00000X | Orthopaedic Surgery | 05846 (Kentucky) | Primary | 
| Entity Name | Kentucky Orthopaedics & Spine Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083185938 PECOS PAC ID: 0749529097 Enrollment ID: O20190304001349 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jorge D Benito, DO 404 Shoppers Dr, Winchester, KY 40391-1301 Ph: (859) 737-5333 | Dr Jorge D Benito, DO 1138 Lexington Rd Ste 110, Georgetown, KY 40324-9673 Ph: (502) 570-3754 | 
| Kayla Hanson, ATC Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Windsor Path, Georgetown, KY 40324 Phone: 859-263-5140 | |
| Dr. Travis Hunt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Windsor Path, Georgetown, KY 40324 Phone: 502-868-6106 Fax: 502-868-6107 | |
| David M Waespe, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1138 Lexington Rd Ste 110, Georgetown, KY 40324 Phone: 502-570-3754 Fax: 502-570-3756 |