Karen M Benezra, D.O.
Individual provider Active NPI Neuromusculoskeletal Medicine & OMM Physician · Arundel, ME
NPI 1003006271 · NPPES record last updated Jan 4, 2022
Key facts
- NPI
- 1003006271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician 204D00000X
- License
- 1900 (ME)
- Practice address
- 1232 Portland Rd
Arundel, ME 04046-8104 - Phone
- (207) 608-6864
- Fax
- (207) 502-7211
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles L. Carr Jr, DO, PA | Neuromusculoskeletal Medicine & Omm | Past | Accepting new patients |
| University of New England | Neuromusculoskeletal Medicine & Omm | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDIFAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1900 | ME | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 1900 | ME | Yes |
Addresses
Primary practice location
1232 Portland Rd
Arundel, ME 04046-8104
Mailing address
PO Box 827
Kennebunk, ME 04043-0827
Phone (207) 608-6864
Other providers in Arundel, ME
- Ardent Medical Services LLC
- Arundel Family Dentistry LLC
- Arundel School Department
- Arundel School Department
- Lizabeth Bedard
- Lana M. Bennett
- Lauren Patricia Bicknell
- Elizabeth Boucher
- Trisha Boucher
- Broadleaf Behavioral Health PC
All providers in Arundel, ME · Neuromusculoskeletal Medicine & OMM Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.