| Benjamin H. Maeck, Iii, M.d. Inc. | |
|
2250 Hayes St Suite 205 San Francisco CA 94117-1078 | |
| (415) 750-5730 | |
| (415) 750-4973 |
| Full Name | Benjamin H. Maeck, Iii, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2250 Hayes St, San Francisco, California |
| Authorized Official Name and Position | Benjamin H Maeck (PHYSICIAN OWNER) |
| Authorized Official Contact | 4157505730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin H. Maeck, Iii, M.d. Inc. 2250 Hayes St Suite 205 San Francisco CA 94117-1078 Ph: (415) 750-5730 | Benjamin H. Maeck, Iii, M.d. Inc. 2250 Hayes St Suite 205 San Francisco CA 94117-1078 Ph: (415) 750-5730 |
| NPI Number | 1568595239 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527164169 |
|---|---|
| Medicare Enrollment ID | O20070427000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568595239 | NPI | - | NPPES |
| 1487720454 | Other | CA | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A71812 (California) | Primary |
| Provider Name | Benjamin H Maeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487720454 PECOS PAC ID: 3971556838 Enrollment ID: I20050302001095 |
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