| Roland E Benton, MD | |
|
1005 E Ring Rd, Ironton, OH 45638-9610 | |
| (740) 534-9830 | |
| (740) 534-9832 |
| Full Name | Roland E Benton |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 1005 E Ring Rd, Ironton, Ohio |
| 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 |
|---|---|---|---|
| 1891774675 | NPI | - | NPPES |
| 1801701000 | Medicaid | WV | |
| 64022619 | Medicaid | KY | |
| 2190276 | Medicaid | OH | |
| 000000380359 | Other | KY | ANTHEM BCBS |
| 000000598423 | Other | KY | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35913 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 35.077695 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Somc Medical Care Foundation, Inc. | 9436061645 | 264 |
| Entity Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Roland E Benton, MD 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | Roland E Benton, MD 1005 E Ring Rd, Ironton, OH 45638-9610 Ph: (740) 534-9830 |
Bryan H. Fuller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 E Ring Rd, Ironton, OH 45638 Phone: 740-534-9830 Fax: 740-534-9832 | |
Dr. Satyanarayana Venkata Kadim, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 411 Center St, Ironton, OH 45638 Phone: 740-533-9002 Fax: 740-533-9002 | |
Ludivina R Dorado, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2213 South 9th Street, Ironton, OH 45638 Phone: 740-532-6634 |