Timothy Benning, MD | |
100 E Carroll St, Salisbury, MD 21801-5422 | |
(410) 546-6400 | |
Not Available |
Full Name | Timothy Benning |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 100 E Carroll St, Salisbury, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528141538 | NPI | - | NPPES |
S44560110201 | Other | MD | BLUE SHIELD |
R8070001 | Other | DC | GHI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | D41281 (Maryland) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | D41281 (Maryland) | Primary |
Entity Name | Peninsula Pathology Associates, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386738144 PECOS PAC ID: 4880600204 Enrollment ID: O20070827000421 |
Mailing Address | Practice Location Address |
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Timothy Benning, MD 100 E Carroll St, Salisbury, MD 21801-5422 Ph: (410) 546-6400 | Timothy Benning, MD 100 E Carroll St, Salisbury, MD 21801-5422 Ph: (410) 546-6400 |
Dr. Michael Wagner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-543-7389 Fax: 410-543-7595 | |
Patrick Edward Oreilly Jr., M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-546-6400 | |
William J Logan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-546-6400 | |
Robert Lane Taylor, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-546-6400 | |
Kimberly Heyer Cuesta, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-546-6400 | |
Eric J Weaver, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-546-6400 |