| Amy Rose Benenson, MSPAS, PA-C | |
|
289 Windham Rd, Willimantic, CT 06226-3528 | |
| (860) 343-0302 | |
| Not Available |
| Full Name | Amy Rose Benenson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 289 Windham Rd, Willimantic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427788009 | NPI | - | NPPES |
| PA01468 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5717 (Connecticut) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | PA01468 (Rhode Island) | Secondary |
| Entity Name | Rushford Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275541005 PECOS PAC ID: 1153227756 Enrollment ID: O20040223000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Rose Benenson, MSPAS, PA-C 302 Fieldstone, Ledyard, CT 06339-1250 Ph: (516) 304-8956 | Amy Rose Benenson, MSPAS, PA-C 289 Windham Rd, Willimantic, CT 06226-3528 Ph: (860) 343-0302 |
Donna Jean Romano, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-9116 |
Julia Charpentier, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Founders St Ste 200, Willimantic, CT 06226 Phone: 860-456-5330 |
Kevin Jones, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-9116 |
Mrs. Tracy Hawthorne, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-9116 |
Kathyrn Amanda Konow, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Founders St Ste 100, Willimantic, CT 06226 Phone: 864-239-7640 |
Christian Aguilar, PA-C, RDN Physician Assistant Medicare: Medicare Enrolled Practice Location: 49 Gifford Ave, Willimantic, CT 06226 Phone: 860-634-1821 |
Mrs. Katherine Marie Baird, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-423-6410 |