Dr Regina M Benjamin, MD | |
13833 Tapia Ave, Bayou La Batre, AL 36509-2515 | |
(251) 824-4985 | |
(251) 824-4990 |
Full Name | Dr Regina M Benjamin |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 13833 Tapia Ave, Bayou La Batre, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033188339 | NPI | - | NPPES |
81721 | Medicaid | AL | |
009912056 | Medicaid | AL | |
541384501 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13314 (Alabama) | Primary |
Entity Name | Bayouclinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114996865 PECOS PAC ID: 0345159257 Enrollment ID: O20060406000656 |
Mailing Address | Practice Location Address |
---|---|
Dr Regina M Benjamin, MD 13833 Tapia Ave, Bayou La Batre, AL 36509-2515 Ph: (251) 824-4985 | Dr Regina M Benjamin, MD 13833 Tapia Ave, Bayou La Batre, AL 36509-2515 Ph: (251) 824-4985 |
Dr. Ashlen Aggen, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13833 Tapia Ave, Bayou La Batre, AL 36509 Phone: 251-824-4985 | |
Mr. Gregory S Mims Ii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13833 Tapia Ave, Bayou La Batre, AL 36509 Phone: 251-824-4985 | |
Kimberley E Jongebloed, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13833 Tapia Ave, Bayou La Batre, AL 36509 Phone: 251-824-4985 Fax: 251-824-4990 |