| Benjamin Fortson, | |
|
6565 E Carondelet Dr Ste 301, Tucson, AZ 85710-2159 | |
| (520) 253-7824 | |
| Not Available |
| Full Name | Benjamin Fortson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 5 Years |
| Location | 6565 E Carondelet Dr Ste 301, Tucson, Arizona |
| 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 |
|---|---|---|---|
| 1477124519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 692113 (Texas) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD-001143 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tucson Medical Center | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surgical Wound Care Associates Pllc | 6507253689 | 5 |
| Provider Name | Surgical Wound Care Associates PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861141863 PECOS PAC ID: 6507253689 Enrollment ID: O20220419001741 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Fortson, 6565 E Carondelet Dr Ste 301, Tucson, AZ 85710-2159 Ph: (520) 253-7824 | Benjamin Fortson, 6565 E Carondelet Dr Ste 301, Tucson, AZ 85710-2159 Ph: (520) 253-7824 |
Dr. David Charles Hatch Jr., D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2308 N Rosemont Blvd, Tucson, AZ 85712 Phone: 520-886-1176 |
Gilbert D. Shapiro, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1888 N Country Club Rd, Tucson, AZ 85716 Phone: 520-327-6367 Fax: 520-318-4492 |
Parth Patel, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2308 N Rosemont Blvd, Tucson, AZ 85712 Phone: 520-886-1176 |
Gilbert D Shapiro, Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1888 N Country Club Rd., Tucson, AZ 85716 Phone: 520-327-6367 Fax: 520-318-4492 |
Mountain Medical Management, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1888 N Country Club Rd, Tucson, AZ 85716 Phone: 520-327-6367 Fax: 520-318-4492 |
Dr. Edward Lee, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4816 E Camp Lowell Dr, Tucson, AZ 85712 Phone: 520-881-8640 Fax: 520-881-0332 |
William Harant, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6554 E Carondelet Dr, Tucson, AZ 85710 Phone: 520-886-5311 Fax: 520-886-2969 |