| Benjamin Ingenthron, PA | |
|
851 E 5th St Ste 208, Washington, MO 63090-3129 | |
| (636) 208-1760 | |
| Not Available |
| Full Name | Benjamin Ingenthron |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 851 E 5th St Ste 208, Washington, Missouri |
| 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 |
|---|---|---|---|
| 1609465814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2022016382 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Washington | Washington, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Pain Management Llc | 5890922066 | 24 |
| Entity Name | Mercy Clinic Pain Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942636980 PECOS PAC ID: 5890922066 Enrollment ID: O20131213000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Ingenthron, PA 851 E 5th St Ste 208, Washington, MO 63090-3129 Ph: (636) 208-1760 | Benjamin Ingenthron, PA 851 E 5th St Ste 208, Washington, MO 63090-3129 Ph: (636) 208-1760 |
Morgan E Dillon-van Iwaarden, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 3200, Washington, MO 63090 Phone: 636-239-7727 Fax: 636-239-5021 |
Aaron Tyree, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8011 |
Mr. Patrick Scott Houlihan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8011 |
David Joseph Mayo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8000 |
Emily Dean Monzyk, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8231 |
Mr. David Morgan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10 Franklin Ave, Washington, MO 63090 Phone: 636-239-2741 |
Mitchel Kohnen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 1300, Washington, MO 63090 Phone: 636-239-9011 |