Dr Melissa Kay Benbow, MD | |
13750 S Sedona Pkwy, Lansing, MI 48906-8101 | |
(517) 669-9758 | |
(517) 679-8232 |
Full Name | Dr Melissa Kay Benbow |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 13750 S Sedona Pkwy, Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053564617 | NPI | - | NPPES |
57-014989 | Other | OH | TRAINING CERTIFICATE |
1053564617 | Medicaid | MI | |
4301104293 | Other | MI | MI MEDICAL LICENSE |
35.095877 | Other | OH | OHIO STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.095877 (Ohio) | Secondary |
208000000X | Pediatrics | 4301104293 (Michigan) | Primary |
Entity Name | Michigan State University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861443269 PECOS PAC ID: 3870405954 Enrollment ID: O20031105000741 |
Entity Name | Msu Health Care Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
Mailing Address | Practice Location Address |
---|---|
Dr Melissa Kay Benbow, MD 804 Service Rd A201, East Lansing, MI 48824-7015 Ph: (517) 884-2976 | Dr Melissa Kay Benbow, MD 13750 S Sedona Pkwy, Lansing, MI 48906-8101 Ph: (517) 669-9758 |
Jeanjiko D Cuison, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5135 S Pennsylvania Ave, Lansing, MI 48911 Phone: 517-887-5922 Fax: 517-887-5982 | |
Dr. David Cervi, D.O., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave Ste 145, Lansing, MI 48912 Phone: 517-364-5440 Fax: 517-364-5409 | |
Ahda Fatehi Mohammad Jbarah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-997-2000 | |
Anastasiia Sabii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-677-3520 | |
Harrietta Christodoulos, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave Ste 145, Lansing, MI 48912 Phone: 517-364-5440 Fax: 517-364-5409 | |
Dr. Renuka Gera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave, Ste 145, Lansing, MI 48912 Phone: 517-364-5449 Fax: 517-364-5409 | |
Farrokh Rahnemoon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 644 Migaldi Ln, Suite 300, Lansing, MI 48917 Phone: 517-627-6024 Fax: 517-627-9339 |