| Dr Charles Bensenhaver Iii Llc | |
|
3430 Newburg Rd Ste 210 Louisville KY 40218-2458 | |
| (502) 454-8800 | |
| (502) 736-0140 |
| Full Name | Dr Charles Bensenhaver Iii Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3430 Newburg Rd Ste 210, Louisville, Kentucky |
| Authorized Official Name and Position | Steven C Mitchell (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5022254900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Bensenhaver Iii Llc 3430 Newburg Rd Ste 210 Louisville KY 40218-2458 Ph: (502) 454-8800 | Dr Charles Bensenhaver Iii Llc 3430 Newburg Rd Ste 210 Louisville KY 40218-2458 Ph: (502) 454-8800 |
| NPI Number | 1962108118 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Medicare PECOS PAC ID | 5890167118 |
|---|---|
| Medicare Enrollment ID | O20230215001635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962108118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0002X | Psychiatry & Neurology - Obesity Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles B Bensenhaver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215031646 PECOS PAC ID: 6204906043 Enrollment ID: I20100721000099 |
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