Benjamin Pankratz, is a
Speech-language Pathologist based in Lodi, Wisconsin. Benjamin Pankratz is licensed to practice in Wisconsin (license number 6345-154) and his current practice location is
700 Clark St, Lodi, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 628-9433.
NPI number for Benjamin Pankratz is 1013795301 and his current mailing address is 700 Clark St, Lodi, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013795301.
Healthcare Provider's Profile
Full Name | Benjamin Pankratz |
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Gender | Male |
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Speciality | Speech-language Pathologist |
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Location | 700 Clark St, Lodi, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013795301
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 09/18/2023
Medical Identifiers
Medical identifiers for Benjamin Pankratz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013795301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 6345-154 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Pankratz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Benjamin Pankratz, 700 Clark St, Lodi, WI 53555-1010 Ph: () - | Benjamin Pankratz, 700 Clark St, Lodi, WI 53555-1010 Ph: (608) 628-9433 |
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