Mr Benjamin Michael Ensell, PA-C | |
5821 S Williamson Blvd Ste 202, Port Orange, FL 32128-6102 | |
(386) 231-6325 | |
Not Available |
Full Name | Mr Benjamin Michael Ensell |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 5821 S Williamson Blvd Ste 202, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932540861 | NPI | - | NPPES |
015492900 | Medicaid | FL | |
PA9107261 | Other | FL | PHYSICIAN ASSISTANT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9107261 (Florida) | Primary |
363AM0700X | Physician Assistant - Medical | PA9107261 (Florida) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Benjamin Michael Ensell, PA-C 5821 S Williamson Blvd Ste 202, Port Orange, FL 32128-6102 Ph: (386) 231-6325 | Mr Benjamin Michael Ensell, PA-C 5821 S Williamson Blvd Ste 202, Port Orange, FL 32128-6102 Ph: (386) 231-6325 |
Brent Wilkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1175 Dunlawton Ave Ste 1, Port Orange, FL 32127 Phone: 386-255-4596 Fax: 386-258-3561 | |
Keri Long Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1165 Dunlawton Ave Ste 105, Port Orange, FL 32127 Phone: 386-425-4787 Fax: 386-425-4788 | |
Mr. Matthew John Morrison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127 Phone: 386-763-4920 Fax: 386-763-4939 | |
Pamela Ross, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 802 Dunlawton Ave, Institute For Wellbeing Suite 102, Port Orange, FL 32127 Phone: 386-763-2338 | |
Zachary King Roberts, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1208 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-7320 | |
Katie Weisz Cremata, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-7842 Fax: 386-756-8802 | |
Mrs. Joanna Elizabeth Stoverink, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802 |