| Ashley Benitez, | |
|
1009 Alabama Ave S, Bremen, GA 30110-2501 | |
| (678) 821-6400 | |
| (678) 821-6401 |
| Full Name | Ashley Benitez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1009 Alabama Ave S, Bremen, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023769965 | NPI | - | NPPES |
| RN278135 | Other | GA | LICENSE |
| 1861915647 | Other | GA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-175802 (Alabama) | Secondary |
| 363L00000X | Nurse Practitioner | RN278135 (Georgia) | Primary |
| Entity Name | Georgia Em-i Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285682583 PECOS PAC ID: 0446157218 Enrollment ID: O20031218000621 |
| Entity Name | Carrollton Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790724672 PECOS PAC ID: 7416860010 Enrollment ID: O20040122001028 |
| Entity Name | Tmc Immediate Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386708097 PECOS PAC ID: 9133105976 Enrollment ID: O20040624000840 |
| Entity Name | 316 Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861915647 PECOS PAC ID: 6709159437 Enrollment ID: O20170831002113 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Benitez, 249 Valley Dr, Bremen, GA 30110-5435 Ph: (256) 525-0834 | Ashley Benitez, 1009 Alabama Ave S, Bremen, GA 30110-2501 Ph: (678) 821-6400 |
Mrs. Deborah Hogeland, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Allen Memorial Dr, Bremen, GA 30110 Phone: 770-812-2519 | |
Lindsay Ballard Capps, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Gordon St, Bremen, GA 30110 Phone: 770-537-1234 Fax: 770-537-1237 | |
Stephanie Ann Melson, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 225 Creek View Rd, Bremen, GA 30110 Phone: 770-757-7399 | |
Whitney Brannon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Gordon St, Bremen, GA 30110 Phone: 770-537-1236 | |
Ashton Mcmanus Hughes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1009 Alabama Ave S, Bremen, GA 30110 Phone: 678-821-6400 | |
Ms. Carolyn Marie Davis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 Gordon St, Bremen, GA 30110 Phone: 334-885-0754 |