Michael G Benton, CRNP | |
235 Rosedale Dr, Manchester, PA 17345-1022 | |
(717) 812-5229 | |
(717) 266-7453 |
Full Name | Michael G Benton |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 235 Rosedale Dr, Manchester, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730712696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | RN707178 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP021581 (Pennsylvania) | Primary |
Entity Name | Family First Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881639904 PECOS PAC ID: 8022910207 Enrollment ID: O20040127000506 |
Entity Name | Wellspan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Mailing Address | Practice Location Address |
---|---|
Michael G Benton, CRNP 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Michael G Benton, CRNP 235 Rosedale Dr, Manchester, PA 17345-1022 Ph: (717) 812-5229 |
Heather R Mitchell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4314 N. George St Ext'd, Manchester, PA 17345 Phone: 717-266-0252 Fax: 717-266-2199 | |
Cynthia A Martin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 Rosedale Dr, Manchester, PA 17345 Phone: 717-851-5503 Fax: 717-851-1905 | |
Mrs. Beth Elaine Fissel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 N George Street Ext, Manchester, PA 17345 Phone: 717-356-4370 Fax: 717-260-3316 | |
Mr. Matthew Thomas Hendell, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 Rosedale Dr, Manchester, PA 17345 Phone: 717-851-5503 Fax: 717-851-1905 | |
Ms. Imelda Perez, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4050 N George Street Ext, Manchester, PA 17345 Phone: 717-356-4370 Fax: 717-260-3316 |