Dr Jeffrey Michael Benware, PHD is a
Psychologist - Clinical based in Saint Louis, Missouri. Dr Jeffrey Michael Benware is licensed to practice in Illinois (license number 071.007752) and his current practice location is
1 Jefferson Barracks Dr, Saint Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 652-4100.
NPI number for Dr Jeffrey Michael Benware is 1912009051 and his current mailing address is 1 Jefferson Barracks Dr, Saint Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912009051.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Michael Benware |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 1 Jefferson Barracks Dr, Saint Louis, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912009051
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 03/05/2024
Medical Identifiers
Medical identifiers for Dr Jeffrey Michael Benware such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912009051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 180-003264 (Illinois) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16565 (Illinois) | Secondary |
| 103T00000X | Psychologist | 6108 (Ohio) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.007752 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey Michael Benware is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jeffrey Michael Benware, PHD
1 Jefferson Barracks Dr,
Saint Louis, MO 63125-4181
Ph: (314) 652-4100 | Dr Jeffrey Michael Benware, PHD
1 Jefferson Barracks Dr,
Saint Louis, MO 63125-4181
Ph: (314) 652-4100 |
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