| Benjamin L Jorgensen, | |
|
70 Crape Myrtle Dr Ste 104, Benson, NC 27504-8034 | |
| (877) 935-5255 | |
| Not Available |
| Full Name | Benjamin L Jorgensen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 70 Crape Myrtle Dr Ste 104, Benson, North Carolina |
| 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 |
|---|---|---|---|
| 1962915777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-14498 (North Carolina) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | AT7943 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goshen Medical Center Incorporated | 3173434479 | 96 |
| Tri County Community Health Council Inc | 2163409558 | 29 |
| Entity Name | Goshen Medical Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962124974 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
| Entity Name | Tri County Community Health Council Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427087709 PECOS PAC ID: 2163409558 Enrollment ID: O20040702000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin L Jorgensen, 70 Crape Myrtle Dr Ste 104, Benson, NC 27504-8034 Ph: (877) 935-5255 | Benjamin L Jorgensen, 70 Crape Myrtle Dr Ste 104, Benson, NC 27504-8034 Ph: (877) 935-5255 |
Theresa M Micke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3333 Nc Highway 242 N, Benson, NC 27504 Phone: 919-894-2011 Fax: 919-894-7645 |
Grayson Massey Gravely, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Dr, Benson, NC 27504 Phone: 919-894-1740 Fax: 919-894-2701 |
Elizabeth Esmeralda Perez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 70 Crepe Myrtle Drive Suite 104, Benson, NC 27504 Phone: 704-930-5638 |
Ms. Laraine Reibson Bowen, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: One Medical Drive, Benson, NC 27504 Phone: 919-894-1740 Fax: 919-894-2701 |
Brenda Jean Justice, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 125 E Main St, Benson, NC 27504 Phone: 919-894-3321 Fax: 919-894-8742 |
Mrs. April G Pope, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3333 Nc Highway 242 N, Benson, NC 27504 Phone: 919-894-2011 |
Susan G Edwards, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3333 Nc Highway 242 N, Benson, NC 27504 Phone: 919-894-2011 Fax: 919-894-7645 |