| Mark Andrew Benedict, DO | |
|
1400 N 500 E, Logan, UT 84341-2455 | |
| (435) 716-4103 | |
| Not Available |
| Full Name | Mark Andrew Benedict |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 13 Years |
| Location | 1400 N 500 E, Logan, Utah |
| 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 |
|---|---|---|---|
| 1497191860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 10581549-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Logan Regional Hospital | Logan, UT | Hospital |
| Intermountain Health St George Regional Hospital | St george, UT | Hospital |
| Intermountain Health Intermountain Medical Center | Murray, UT | Hospital |
| Intermountain Health Cassia Regional Hospital | Burley, ID | Hospital |
| Intermountain Health Mckay-dee Hospital | Ogden, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Pathology Services Inc | 1355251521 | 28 |
| Entity Name | Utah Pathology Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134188998 PECOS PAC ID: 1355251521 Enrollment ID: O20031208000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Andrew Benedict, DO 1400 N 500 E, Logan, UT 84341-2455 Ph: Not Available | Mark Andrew Benedict, DO 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-4103 |
Dr. Matthew M Kershisnik, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-5375 Fax: 843-284-3401 |