| Mr Matthew Douglas Benson, CRNA | |
|
750 Ne 13th St, Suite 200, Oklahoma City, OK 73104-5051 | |
| (405) 271-4351 | |
| Not Available |
| Full Name | Mr Matthew Douglas Benson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 750 Ne 13th St, Oklahoma City, Oklahoma |
| 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 |
|---|---|---|---|
| 1205005204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R032031 (South Dakota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0091029 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Heart Hospital Of South Dakota | Sioux falls, SD | Hospital |
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ophthalmology Ltd Eye Surgery Center L L C | 1557357175 | 7 |
| Heart Hospital Of South Dakota Llc | 5799777249 | 64 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Entity Name | Heart Hospital Of South Dakota Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023003969 PECOS PAC ID: 5799777249 Enrollment ID: O20040402000412 |
| Entity Name | Ophthalmology Ltd Eye Surgery Center L L C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871581876 PECOS PAC ID: 1557357175 Enrollment ID: O20040421000731 |
| Entity Name | Sioux Falls Specialty Hospital, Llp |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1316946809 PECOS PAC ID: 3173510898 Enrollment ID: O20161222000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Douglas Benson, CRNA 1122 Ne 13th St, Suite 236, Oklahoma City, OK 73117-1039 Ph: (405) 271-1515 | Mr Matthew Douglas Benson, CRNA 750 Ne 13th St, Suite 200, Oklahoma City, OK 73104-5051 Ph: (405) 271-4351 |
Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351 | |
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000 | |
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Ne 85th St, Oklahoma City, OK 73114 Phone: 405-631-3085 Fax: 405-616-2679 | |
Ivan Kozhulenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Jasilin Hall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000 | |
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612 |