Benjamin Keith Winn, PA-C is a medicare enrolled "Physician Assistant" in South West City, Missouri. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St. Francis House Nwa, Inc. and his current practice location is
109 N Broadway St, South West City, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 762-3287.
Benjamin Keith Winn is licensed to practice in Missouri (license number 2025037891) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629736459.
Provider's Profile
| Full Name | Benjamin Keith Winn |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 109 N Broadway St, South West City, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Benjamin Keith Winn graduated from nursing school in 2021
NPI Data:
- NPI Number: 1629736459
- Provider Enumeration Date: 11/29/2021
- Last Update Date: 11/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456743053
- Enrollment ID: I20220211000252
Medical Identifiers
Medical identifiers for Benjamin Keith Winn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629736459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 4746 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | 1037 (Arkansas) | Secondary |
| 363A00000X | Physician Assistant | 2025037891 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St. Francis House Nwa, Inc. | 0042262495 | 59 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Keith Winn is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Keith Winn, PA-C
109 N Broadway St,
South West City, MO 64863-9417
Ph: (417) 762-3287 | Benjamin Keith Winn, PA-C
109 N Broadway St,
South West City, MO 64863-9417
Ph: (417) 762-3287 |
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