| Michele L Bena, PA-C | |
|
12303 Depaul Dr., Bridgeton, MO 63044 | |
| (314) 344-6476 | |
| Not Available |
| Full Name | Michele L Bena |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 12303 Depaul Dr., Bridgeton, Missouri |
| 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 |
|---|---|---|---|
| 1720127012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2007001283 (Missouri) | Primary |
| 207P00000X | Emergency Medicine | 2007001283 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Access Urgent Care Pc | 8820171929 | 130 |
| Entity Name | Southeastern Emergency Services of Memphis PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20080108000151 |
| Entity Name | Total Access Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962684886 PECOS PAC ID: 8820171929 Enrollment ID: O20080213000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele L Bena, PA-C 7 Elm Ave, Saint Louis, MO 63122-4836 Ph: Not Available | Michele L Bena, PA-C 12303 Depaul Dr., Bridgeton, MO 63044 Ph: (314) 344-6476 |
Mr. Blessing Kudakwashe Tupiri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-647-8269 |
Laura Ann Fischer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12349 Depaul Drive, Suite 100, Bridgeton, MO 63044 Phone: 314-291-7900 |
Spencer Blondeaux, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12409 Saint Charles Rock Rd, Bridgeton, MO 63044 Phone: 636-429-0999 |
Daniel Zackary Souvannarath, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12266 De Paul Dr Ste 310, Bridgeton, MO 63044 Phone: 314-209-5171 |
Aida Junuzovic, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 Depaul Dr Suite 100, Bridgeton, MO 63044 Phone: 314-738-2770 |
Heather Ann Schmitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-218-2300 |
Caroline Rose Hoffman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12255 Depaul Drive, Suite 420, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 |