| Mr Leslie A Beben, PA | |
|
1229 Alice Drive, Sumter, SC 29150 | |
| (803) 905-2273 | |
| (803) 905-7775 |
| Full Name | Mr Leslie A Beben |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1229 Alice Drive, Sumter, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417941501 | NPI | - | NPPES |
| MPA974 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 415 (South Carolina) | Primary |
| Entity Name | Sumter Medical Specialists PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619069481 PECOS PAC ID: 2264324433 Enrollment ID: O20040325000405 |
| Entity Name | Carolina Diabetes & Kidney Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689128951 PECOS PAC ID: 2365723806 Enrollment ID: O20161221001632 |
| Entity Name | Magnolia Family Practice LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386282838 PECOS PAC ID: 8022443597 Enrollment ID: O20200113000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Leslie A Beben, PA 1229 Alice Drive, Sumter, SC 29150 Ph: (803) 905-2273 | Mr Leslie A Beben, PA 1229 Alice Drive, Sumter, SC 29150 Ph: (803) 905-2273 |
Mrs. Kimberly W Reisenauer, P.A. Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 325 Broad St, Suite 100, Sumter, SC 29150 Phone: 803-773-5227 Fax: 803-774-5400 |
Mrs. Temisha H Budden, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 12 Barnette Dr, Sumter, SC 29150 Phone: 803-773-5442 Fax: 803-778-2394 |
Mrs. Lauren Marie Pepin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 635 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-469-7500 Fax: 803-469-7521 |
Mrs. Julie Ann West, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 W Liberty St, Sumter, SC 29150 Phone: 803-774-7000 Fax: 803-774-7004 |
Alexandra Lyn Condy, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-9099 |
Steven Jon Bosc Ii, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 325 Broad St, Sumter, SC 29150 Phone: 803-773-5227 |
Mrs. April T Rogers, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 641 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-905-6944 Fax: 803-469-3944 |