| Mr Benjamin Joseph Mastridge, MSN, PMHAPRN-BC | |
|
402 North Main St, Creedmoor, NC 27522-8815 | |
| (919) 529-2474 | |
| (919) 529-2143 |
| Full Name | Mr Benjamin Joseph Mastridge |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 402 North Main St, Creedmoor, North Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942421508 | NPI | - | NPPES |
| 6113119 | Medicaid | NC |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovative Behavioral Health Services Pc | 5799929675 | 3 |
| Entity Name | Legacy Human Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881723096 PECOS PAC ID: 3375595366 Enrollment ID: O20050217000870 |
| Entity Name | Innovative Behavioral Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124367347 PECOS PAC ID: 5799929675 Enrollment ID: O20130913000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benjamin Joseph Mastridge, MSN, PMHAPRN-BC Po Box 400, Creedmoor, NC 27522-0400 Ph: (919) 529-2474 | Mr Benjamin Joseph Mastridge, MSN, PMHAPRN-BC 402 North Main St, Creedmoor, NC 27522-8815 Ph: (919) 529-2474 |
Nicole Latulip, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1614 Nc-56, Creedmoor, NC 27522 Phone: 919-575-6103 | |
Kaitlyn Ann Coyle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2503 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-1535 | |
Tara Neal, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2527 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-1535 | |
Vincent John Cella, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 Main Street, Creedmoor, NC 27522 Phone: 919-529-2474 | |
Tonya Fisher Pruitt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1614 Nc Highway 56, Creedmoor, NC 27522 Phone: 919-582-7171 | |
Mrs. Robin Peterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3185 Hardie St, Creedmoor, NC 27522 Phone: 919-427-0926 | |
Alexia Edwards, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1614 Nc Highway 56, Creedmoor, NC 27522 Phone: 919-575-6103 |