| Dr Bensen Benjamin Fan, MD | |
|
1222 S Orange Ave Fl 5, Orlando, FL 32806-1215 | |
| (844) 362-1735 | |
| (321) 841-3040 |
| Full Name | Dr Bensen Benjamin Fan |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
| Location | 1222 S Orange Ave Fl 5, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023350113 | NPI | - | NPPES |
| 112713000 | Medicaid | FL |
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bensen Benjamin Fan, MD 1222 S Orange Ave Fl 5, Orlando, FL 32806-1215 Ph: (844) 362-1735 | Dr Bensen Benjamin Fan, MD 1222 S Orange Ave Fl 5, Orlando, FL 32806-1215 Ph: (844) 362-1735 |
Dr. Nam Dinh, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5979 Vineland Rd Ste 101, Orlando, FL 32819 Phone: 407-355-3120 | |
Bryan David Brown, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 S Orange Ave, 5th Floor, Orlando, FL 32806 Phone: 321-841-1764 Fax: 321-841-1870 | |
Callie Ann Jewett, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25 W Crystal Lake St Ste 200, Orlando, FL 32806 Phone: 407-254-2500 | |
Dr. Michael David Riggenbach, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 W Crystal Lake St, Suite 200, Orlando, FL 32806 Phone: 407-254-2500 Fax: 407-423-2789 | |
George John Haidukewych, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 89 W Copeland Dr, 3rd Floor, Orlando, FL 32806 Phone: 407-649-6878 Fax: 407-843-7381 | |
Vonda Joy Wright, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6775 Chopra Terrace, Suite 300, Orlando, FL 32827 Phone: 689-216-8000 | |
Dr. Joseph D Funk, DPM Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 W Crystal Lake St, Suite 200, Orlando, FL 32806 Phone: 407-254-2500 Fax: 407-254-2557 |