Charles A Benford Sr, PT | |
5888 Ridgewood Rd, Suite B, Jackson, MS 39211-2644 | |
(601) 978-1798 | |
(601) 978-1799 |
Full Name | Charles A Benford Sr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 48 Years |
Location | 5888 Ridgewood Rd, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780715854 | NPI | - | NPPES |
05855578 | Medicaid | MS | |
640830003 | Other | MS | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT0223 (Mississippi) | Primary |
Provider Name | Capitol Physical Therapy, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518177971 PECOS PAC ID: 4981673878 Enrollment ID: O20040928000504 |
Mailing Address | Practice Location Address |
---|---|
Charles A Benford Sr, PT 5888 Ridgewood Rd, Suite B, Jackson, MS 39211-2644 Ph: (601) 978-1798 | Charles A Benford Sr, PT 5888 Ridgewood Rd, Suite B, Jackson, MS 39211-2644 Ph: (601) 978-1798 |
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