Mark Andrew Benedict, DO | |
1400 N 500 E, Logan, UT 84341-2455 | |
(435) 716-4103 | |
Not Available |
Full Name | Mark Andrew Benedict |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 11 Years |
Location | 1400 N 500 E, Logan, Utah |
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 |
---|---|---|---|
1497191860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 10581549-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Logan Regional Hospital | Logan, UT | Hospital |
Intermountain Medical Center | Murray, UT | Hospital |
Franklin County Medical Center | Preston, ID | Hospital |
Bear River Valley Hospital | Tremonton, UT | Hospital |
Cassia Regional Hospital | Burley, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Pathology Services Inc | 1355251521 | 27 |
Entity Name | Utah Pathology Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134188998 PECOS PAC ID: 1355251521 Enrollment ID: O20031208000678 |
Entity Name | Ridgeview Pathology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174086581 PECOS PAC ID: 2163755786 Enrollment ID: O20190612002917 |
Mailing Address | Practice Location Address |
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Mark Andrew Benedict, DO 1400 N 500 E, Logan, UT 84341-2455 Ph: () - | Mark Andrew Benedict, DO 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-4103 |
Dr. Matthew M Kershisnik, MD Pathology Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-5375 Fax: 843-284-3401 |