| Michael Bienenfeld Md Pa | |
|
1505 Sw Cary Pkwy Suite 308 Cary NC 27511-6219 | |
| (919) 303-1072 | |
| (919) 387-7552 |
| Full Name | Michael Bienenfeld Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1505 Sw Cary Pkwy, Cary, North Carolina |
| Authorized Official Name and Position | Michael Bienenfeld (OWNER) |
| Authorized Official Contact | 9193031072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Bienenfeld Md Pa 1505 Sw Cary Pkwy Suite 308 Cary NC 27511-6219 Ph: (919) 303-1072 | Michael Bienenfeld Md Pa 1505 Sw Cary Pkwy Suite 308 Cary NC 27511-6219 Ph: (919) 303-1072 |
| NPI Number | 1891820148 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3678471208 |
|---|---|
| Medicare Enrollment ID | O20070301000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891820148 | NPI | - | NPPES |
| 1006H | Other | NC | BCBS OF NC |
| 0402628 | Other | NC | UNITED HEALTHCARE |
| 891006H | Medicaid | NC | |
| AETNA | Other | NC | 7812348 |
| 16833 | Other | NC | PARTNERS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 9600863 (North Carolina) | Primary |
| Provider Name | Maurice Michael Bienenfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528021631 PECOS PAC ID: 3274431804 Enrollment ID: I20070223000168 |
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