Mr Benjamin Aaron Mckenzie, PA-C | |
1500 Ross Clark Cir, Dothan, AL 36301-4754 | |
(334) 793-2663 | |
Not Available |
Full Name | Mr Benjamin Aaron Mckenzie |
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Gender | Male |
Speciality | Physician Assistant |
Location | 1500 Ross Clark Cir, Dothan, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629376553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | PA.770 (Alabama) | Primary |
Entity Name | Houston County Healthcare Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
Entity Name | S.b.j.s. Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134106065 PECOS PAC ID: 8527043421 Enrollment ID: O20040623001355 |
Mailing Address | Practice Location Address |
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Mr Benjamin Aaron Mckenzie, PA-C 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: () - | Mr Benjamin Aaron Mckenzie, PA-C 1500 Ross Clark Cir, Dothan, AL 36301-4754 Ph: (334) 793-2663 |
Mrs. Jennifer Marie Echols, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 | |
Micheal S Shivers, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 | |
Natalie Stokes Barefield, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190 | |
Mrs. Kelli Nicole Heer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Westside Dr, Dothan, AL 36303 Phone: 877-231-3376 Fax: 850-522-8354 | |
Mr. Dean Daniel Marturello, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 | |
Sophia Shea Marino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8111 | |
James Kevin Brannon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 |