Dr Benny R Cleveland, MD is a
Surgery physician based in Boerne, Texas. Dr Benny R Cleveland is licensed to practice in Texas (license number D2667) and his current practice location is 523 Cordillera Trce, Boerne, Texas. He can be reached at his office (for appointments etc.) via phone at
(830) 336-4588.
NPI number for Dr Benny R Cleveland is 1174784813 and his current mailing address is 523 Cordillera Trce, Boerne, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174784813.
Physician's Profile
| Full Name | Dr Benny R Cleveland |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 523 Cordillera Trce, Boerne, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174784813
- Provider Enumeration Date: 06/24/2008
- Last Update Date: 06/24/2008
Medical Identifiers
Medical identifiers for Dr Benny R Cleveland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174784813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | D2667 (Texas) | 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 Benny R Cleveland 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 Benny R Cleveland, MD
523 Cordillera Trce,
Boerne, TX 78006-4203
Ph: (830) 336-4588 | Dr Benny R Cleveland, MD
523 Cordillera Trce,
Boerne, TX 78006-4203
Ph: (830) 336-4588 |
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