Fred Benson, OWNER is a
Licensed Vocational Nurse based in Fort Wayne, Indiana. Fred Benson is licensed to practice in Indiana (license number 27064077A) and his current practice location is
2478 Lake Ave, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 387-6396.
NPI number for Fred Benson is 1639899297 and his current mailing address is 2478 Lake Ave, Fort Wayne, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639899297.
Provider's Profile
| Full Name | Fred Benson |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 2478 Lake Ave, Fort Wayne, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639899297
- Provider Enumeration Date: 09/01/2022
- Last Update Date: 09/01/2022
Medical Identifiers
Medical identifiers for Fred Benson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639899297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 27064077A (Indiana) | 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. Fred Benson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fred Benson, OWNER
2478 Lake Ave,
Fort Wayne, IN 46805-5406
Ph: (260) 387-6396 | Fred Benson, OWNER
2478 Lake Ave,
Fort Wayne, IN 46805-5406
Ph: (260) 387-6396 |
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