Timothy Benton, MD | |
701 W 5th St, Attn: Credentialing, Odessa, TX 79763-4206 | |
(432) 703-5200 | |
(432) 335-5316 |
Full Name | Timothy Benton |
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Gender | Male |
Speciality | Family Medicine |
Location | 701 W 5th St, Odessa, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518999671 | NPI | - | NPPES |
124570607 | Medicaid | TX | |
31753515 | Medicaid | NM | |
200061220 A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | J8456 (Texas) | Primary |
Entity Name | Texas Tech University Health Sciences Center Odessa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407845084 PECOS PAC ID: 8426044256 Enrollment ID: O20040607001561 |
Mailing Address | Practice Location Address |
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Timothy Benton, MD 701 W 5th St, Attn: Credentialing, Odessa, TX 79763-4206 Ph: (432) 703-5200 | Timothy Benton, MD 701 W 5th St, Attn: Credentialing, Odessa, TX 79763-4206 Ph: (432) 703-5200 |
Dr. Michael Vise Shelton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4222 Wendover Ave, Ste 600, Odessa, TX 79762 Phone: 432-552-5656 Fax: 432-552-0992 | |
Dr. Bruce Carl Becker Ii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1059 | |
Tashawnda Patterson, FNPC Family Medicine Medicare: Medicare Enrolled Practice Location: 2487 E 11th St, Odessa, TX 79761 Phone: 432-332-1386 | |
Anne E Acreman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4222 Wendover Ave, Suite 400, Odessa, TX 79762 Phone: 432-367-8080 Fax: 432-366-8443 | |
Bonnie C Carter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1940 E 42nd St, Odessa, TX 79762 Phone: 432-640-6712 Fax: 432-640-4788 | |
Dr. Francisco J Salcido, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4060 Medical Park Dr, Odessa, TX 79765 Phone: 432-582-2882 Fax: 432-582-2884 | |
Derrick Randdolf, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5375 Fax: 432-703-5238 |