| Dr Scott Wald Benninghoven, MD | |
|
8833 Monterey Rd Ste F, Gilroy, CA 95020-7200 | |
| (408) 848-3799 | |
| (408) 848-5490 |
| Full Name | Dr Scott Wald Benninghoven |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 8833 Monterey Rd Ste F, Gilroy, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528189651 | NPI | - | NPPES |
| 00G551180 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | G55118 (California) | Primary |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588721500 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | Advanced Surgical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013027150 PECOS PAC ID: 2567438849 Enrollment ID: O20040908000760 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Wald Benninghoven, MD 8833 Monterey Rd Ste F, Gilroy, CA 95020-7200 Ph: (408) 848-3799 | Dr Scott Wald Benninghoven, MD 8833 Monterey Rd Ste F, Gilroy, CA 95020-7200 Ph: (408) 848-3799 |
Dr. M. Bakri Musa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 W 6th St, Suite S, Gilroy, CA 95020 Phone: 408-842-1511 Fax: 408-842-5366 | |
Kelly De Gonzales, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9400 N Name Uno, Gilroy, CA 95020 Phone: 408-852-4830 | |
Dr. Paul Seo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9400 N Name Uno, Gilroy, CA 95020 Phone: 408-848-2000 | |
Dr. Andrew James Matthews, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7880 Wren Ave, F-161, Gilroy, CA 95020 Phone: 408-848-0222 Fax: 408-848-0220 | |
Mostafa Ahmed Sadek, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 9400 N Name Uno, Gilroy, CA 95020 Phone: 408-848-2000 | |
Dr. Reza Neil, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7872 Eigleberry Street, Gilroy, CA 95020 Phone: 408-848-3365 Fax: 408-848-1580 |