| Benjamin Devries Do Llc | |
|
1573 S Fort Harrison Ave Clearwater FL 33756-2004 | |
| (727) 584-8777 | |
| Not Available |
| Full Name | Benjamin Devries Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1573 S Fort Harrison Ave, Clearwater, Florida |
| Authorized Official Name and Position | Benjamin Devries (OWNER) |
| Authorized Official Contact | 3192396395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Devries Do Llc 1573 S Fort Harrison Ave Clearwater FL 33756-2004 Ph: (727) 584-8777 | Benjamin Devries Do Llc 1573 S Fort Harrison Ave Clearwater FL 33756-2004 Ph: (727) 584-8777 |
| NPI Number | 1558916494 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/11/2020 |
| Medicare PECOS PAC ID | 6709218860 |
|---|---|
| Medicare Enrollment ID | O20191112001931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558916494 | NPI | - | NPPES |
| 72062 | Other | BLUE CROSS BLUE SHIELD | |
| 103871800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Benjamin Devries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164738159 PECOS PAC ID: 0244470235 Enrollment ID: I20130716000546 |
Naha Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13600b Icot Blvd, Clearwater, FL 33760 Phone: 727-280-0090 | |
Pediatric Health Choice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2364 Drew St, Clearwater, FL 33765 Phone: 727-723-1100 | |
Jerome Koser Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2349 Sunset Point Rd, Unit 403, Clearwater, FL 33765 Phone: 727-796-8600 Fax: 727-796-8660 | |
Yervant Khatcherian Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29605 Us Highway 19 N, Suite 170, Clearwater, FL 33761 Phone: 727-771-8444 Fax: 727-771-8604 | |
Lifeworks Wellness Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Turner St, Clearwater, FL 33756 Phone: 727-466-6789 Fax: 727-451-1010 | |
Total Family Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1831 N Belcher Rd, Suite C-3, Clearwater, FL 33765 Phone: 727-510-8464 | |
Baycare Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 Morton Plant St Ste 400, Clearwater, FL 33756 Phone: 727-461-8300 Fax: 727-635-2187 |