Benjamin Mullenbach, MD | |
1241 Woodland Ave, Mt Pleasant, SC 29464-3288 | |
(843) 824-0606 | |
(843) 824-0909 |
Full Name | Benjamin Mullenbach |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | 1241 Woodland Ave, Mt Pleasant, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194135442 | NPI | - | NPPES |
12501Q | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 201220 (North Carolina) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD83497 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trident Medical Center | Charleston, SC | Hospital |
Colleton Medical Center | Walterboro, SC | Hospital |
Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pelican Ii Llc | 1759484082 | 19 |
Charleston Radiologists Pa | 9436054715 | 23 |
Entity Name | Charleston Radiologists Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811000177 PECOS PAC ID: 9436054715 Enrollment ID: O20031201000149 |
Entity Name | Pelican Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871681445 PECOS PAC ID: 1759484082 Enrollment ID: O20070307000210 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Mullenbach, MD 1350 S Kings Dr, Charlotte, NC 28207-2134 Ph: (704) 446-1242 | Benjamin Mullenbach, MD 1241 Woodland Ave, Mt Pleasant, SC 29464-3288 Ph: (843) 824-0606 |
Mrs. Marilyn Roberts Hendrix, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 173 N Plaza Ct, Mt Pleasant, SC 29464 Phone: 843-881-4221 | |
Dr. David Dwight Goltra Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 582 Lone Tree Drive, 582 Long Point Rd, Mt Pleasant, SC 29464 Phone: 843-352-0674 Fax: 843-971-8832 | |
Dr. John Bell Hood, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 284 S Plaza Ct, Mt Pleasant, SC 29464 Phone: 843-884-7667 Fax: 843-884-7386 | |
Dr. Lyndsay Alexandra Oancea, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Hospital Dr, Mt Pleasant, SC 29464 Phone: 843-881-0100 Fax: 843-416-6805 | |
William Wayne Davenport, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 582 Island Walk E, Mt Pleasant, SC 29464 Phone: 501-815-4924 | |
John J Chomyn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Hospital Dr, Mt Pleasant, SC 29464 Phone: 843-792-1414 |