Mr Garrett Evan Benham, PA-C is a medicare enrolled "Physician Assistant" physician in Newark, Delaware. His current practice location is
200 Hygeia Dr, Newark, Delaware. You can reach out to his office (for appointments etc.) via phone at
(302) 623-7000.
Mr Garrett Evan Benham is licensed to practice in * (Not Available) (license number 1172000) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053935825.
Physician's Profile
Full Name | Mr Garrett Evan Benham |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 200 Hygeia Dr, Newark, Delaware |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053935825
- Provider Enumeration Date: 06/07/2020
- Last Update Date: 02/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880010982
- Enrollment ID: I20200820000011
Medical Identifiers
Medical identifiers for Mr Garrett Evan Benham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053935825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0200X | Internal Medicine - Critical Care Medicine | 1172000 (Delaware) | Secondary |
363A00000X | Physician Assistant | 1172000 (* (Not Available)) | 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. Mr Garrett Evan Benham is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Garrett Evan Benham, PA-C 1100 Helen Dr Apt 306, Newark, DE 19702-1668 Ph: () - | Mr Garrett Evan Benham, PA-C 200 Hygeia Dr, Newark, DE 19713-2049 Ph: (302) 623-7000 |
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