Amy Rose Benenson, MSPAS, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Willimantic, Connecticut. Her current practice location is
289 Windham Rd, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 343-0302.
Amy Rose Benenson is licensed to practice in Connecticut (license number 5717) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427788009.
Physician's Profile
Full Name | Amy Rose Benenson |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 289 Windham Rd, Willimantic, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427788009
- Provider Enumeration Date: 06/15/2022
- Last Update Date: 01/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416309463
- Enrollment ID: I20240116001778
Medical Identifiers
Medical identifiers for Amy Rose Benenson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427788009 | NPI | - | NPPES |
PA01468 | Medicaid | RI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0401X | Family Medicine - Addiction Medicine | PA01468 (Rhode Island) | Secondary |
363AM0700X | Physician Assistant - Medical | 5717 (Connecticut) | 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. Amy Rose Benenson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy Rose Benenson, MSPAS, PA-C 302 Fieldstone, Ledyard, CT 06339-1250 Ph: (516) 304-8956 | Amy Rose Benenson, MSPAS, PA-C 289 Windham Rd, Willimantic, CT 06226-3528 Ph: (860) 343-0302 |
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