| Mary Taylor Benson, | |
|
987 Parallel Dr Ste C, Lakeport, CA 95453-5708 | |
| (707) 262-5088 | |
| Not Available |
| Full Name | Mary Taylor Benson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 987 Parallel Dr Ste C, Lakeport, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043602147 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Care At Home | Lakeport, CA | Home health agency |
| Sutter Lakeside Hospital | Lakeport, CA | Hospital |
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Lakeside Home Medical Services | 1850338054 | 19 |
| Sutter Bay Hospitals | 3476506528 | 45 |
| Sutter Bay Hospitals | 3476506528 | 45 |
| Entity Name | Ohio Center for Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710785670 PECOS PAC ID: 6305332842 Enrollment ID: O20260105001437 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Taylor Benson, 1010 Mint Springs Rd, Terry, MS 39170-8778 Ph: Not Available | Mary Taylor Benson, 987 Parallel Dr Ste C, Lakeport, CA 95453-5708 Ph: (707) 262-5088 |
Pamela Balch Maes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844 |
Carleene Janice Cady, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Road E., Lakeport, CA 95453 Phone: 707-262-5000 |
Hailey Brooke Sommerfeld, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5000 |
Jenny Senff, FNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5335 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-263-7725 Fax: 707-263-1096 |
Xochilt Josefina Morales De Martinez, MFTI Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 991 Parallel Dr, Lakeport, CA 95453 Phone: 707-263-4338 |
Charissa M Barsos, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-5019 |
Jacqueline Kelly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 |