Benjamin J Wilson, MD | |
1908 Boothe Cir, Longwood, FL 32750-6774 | |
(844) 665-4827 | |
(855) 437-3395 |
Full Name | Benjamin J Wilson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1908 Boothe Cir, Longwood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952694549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 8438943-1205 (Utah) | Secondary |
207Q00000X | Family Medicine | MD60771670 (Washington) | Primary |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062 |
Mailing Address | Practice Location Address |
---|---|
Benjamin J Wilson, MD 1932 E Star Ln, Meridian, ID 83646-5559 Ph: (208) 547-5697 | Benjamin J Wilson, MD 1908 Boothe Cir, Longwood, FL 32750-6774 Ph: (844) 665-4827 |
Mohit Jain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 W State Road 434 Ste 110, Longwood, FL 32750 Phone: 407-830-8600 Fax: 407-830-5110 | |
Donald Colbert, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1908 Boothe Cir, Longwood, FL 32750 Phone: 407-331-7007 | |
Dr. Neil Shah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 434, Longwood, FL 32750 Phone: 321-842-2994 Fax: 407-767-5801 | |
Dr. Zabunissa Vyas, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 W Sabal Palm Pl, Suite 200, Longwood, FL 32779 Phone: 407-788-6399 Fax: 407-788-0404 | |
Dr. Susan Toth, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 515 W State Road 434, Suite 308, Longwood, FL 32750 Phone: 407-831-2000 Fax: 407-831-4761 | |
Dr. Bill Byrd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 E State Road 434, Longwood, FL 32750 Phone: 407-834-4849 Fax: 407-834-4905 | |
Dr. Gary H. Rothwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 E State Road 434, Longwood, FL 32750 Phone: 407-381-7367 Fax: 407-331-6758 |