| Doctor Benn Llc | |
|
3635 Old Court Rd Ste 511 Pikesville MD 21208-3910 | |
| (443) 241-4878 | |
| Not Available |
| Full Name | Doctor Benn Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3635 Old Court Rd Ste 511, Pikesville, Maryland |
| Authorized Official Name and Position | Rachel Benn (DO, OWNER) |
| Authorized Official Contact | 4432414878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Benn Llc 3635 Old Court Rd Ste 511 Pikesville MD 21208-3910 Ph: () - | Doctor Benn Llc 3635 Old Court Rd Ste 511 Pikesville MD 21208-3910 Ph: (443) 241-4878 |
| NPI Number | 1174232862 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 11/21/2022 |
| Medicare PECOS PAC ID | 8022473636 |
|---|---|
| Medicare Enrollment ID | O20230504001575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174232862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rachel S Benn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558412239 PECOS PAC ID: 8820127392 Enrollment ID: I20100520000829 |
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