| Benham Physician Services LLC | |
|
58 Carroll Street Lebanon VA 24266 | |
| (276) 883-8000 | |
| (276) 883-8101 |
| Full Name | Benham Physician Services LLC |
|---|---|
| Speciality | Hospitalist |
| Location | 58 Carroll Street, Lebanon, Virginia |
| Authorized Official Name and Position | Lisha C Falk (VICE PRESIDENT) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benham Physician Services LLC 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Benham Physician Services LLC 58 Carroll Street Lebanon VA 24266 Ph: (276) 883-8000 |
| NPI Number | 1912881624 |
|---|---|
| Provider Enumeration Date | 08/05/2025 |
| Last Update Date | 08/05/2025 |
| Certification Date | 07/31/2025 |
| Medicare PECOS PAC ID | 5496248353 |
|---|---|
| Medicare Enrollment ID | O20251201001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912881624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Jill K Couch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972561702 PECOS PAC ID: 6103878525 Enrollment ID: I20050214000956 |
| Provider Name | Jenny Marie Pruitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528249133 PECOS PAC ID: 3173606365 Enrollment ID: I20080211000842 |
| Provider Name | Paul Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538352604 PECOS PAC ID: 3274680681 Enrollment ID: I20090901000297 |
| Provider Name | Rohini Nathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316130586 PECOS PAC ID: 0547394991 Enrollment ID: I20100820000135 |
| Provider Name | Rhonel Lanique Citterbart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962797092 PECOS PAC ID: 7214106236 Enrollment ID: I20110809000396 |
| Provider Name | Brian K Stiltner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356638076 PECOS PAC ID: 6507083912 Enrollment ID: I20140808000467 |
| Provider Name | Holly Hieb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831483973 PECOS PAC ID: 1759504327 Enrollment ID: I20140905000395 |
| Provider Name | Olatunji S Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20220111002331 |
| Provider Name | Andrew Jordan Rosenfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740772359 PECOS PAC ID: 9032468160 Enrollment ID: I20220816001950 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20221004001962 |
| Provider Name | Jamil Meloelain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538262076 PECOS PAC ID: 0749206977 Enrollment ID: I20221222001497 |
| Provider Name | Emily R Felzenberg |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1063684702 PECOS PAC ID: 5890872329 Enrollment ID: I20230426002019 |
| Provider Name | Yuliya Matsova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184241614 PECOS PAC ID: 0143633057 Enrollment ID: I20230925000134 |
| Provider Name | Holly Vicars |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985301 PECOS PAC ID: 3870728611 Enrollment ID: I20240506004814 |
| Provider Name | Sana Perveen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679853618 PECOS PAC ID: 0143445288 Enrollment ID: I20240508000441 |
| Provider Name | Mohamed Gharib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720575137 PECOS PAC ID: 7012319387 Enrollment ID: I20240827001396 |
| Provider Name | Syed Muhammad Tayyab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780952994 PECOS PAC ID: 0345468815 Enrollment ID: I20250102002844 |
Family Health Care Associates of Swva.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 W Main St, Lebanon, VA 24266 Phone: 276-889-2394 Fax: 276-889-4716 |
Ballad Health Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Carroll St, Room 2037, Lebanon, VA 24266 Phone: 276-883-8062 Fax: 276-883-8064 |
C-health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 495 East Main Street, Lebanon, VA 24266 Phone: 276-889-3700 Fax: 276-889-5505 |
Merit Medical Rhc Lebanon Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 West Main Street, Lebanon, VA 24266 Phone: 276-889-0035 Fax: 276-889-2044 |
Bhrhc Lebanon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 344 Overlook Dr Ste 100, Lebanon, VA 24266 Phone: 276-883-8042 Fax: 276-883-8044 |
Msmg Lebanon Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 344 Overlook Dr Ste 100, Lebanon, VA 24266 Phone: 276-883-8042 Fax: 276-883-8044 |