Elise Rebecca Bender, MD
Individual provider Active NPI Family Medicine Physician · Braintree, MA
NPI 1003044272 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1003044272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 250398 (MA)
- Practice address
- 111 Grossman Dr
Braintree, MA 02184-4997 - Phone
- (781) 849-1000
- NPI assigned
- Jun 26, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Massachusetts Medical School, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Atrius Health Inc
Practice addresses (Care Compare)
111 Grossman Dr
Braintree, MA 02184-4997
Phone (781) 849-1000
Hospital & facility affiliations
- South Shore Visiting Nurse Association
- Croi Health
- Vna Care Network
- South Shore Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130320000692 | MA | Practitioner - Family Practice | 8426293556 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP01652 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Atrius Health, Inc. | Past | Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
111 Grossman Dr
Braintree, MA 02184
Phone (781) 849-1000
Interoperability endpoints
- ebendermd51946@direct.atrius.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LP01652 | RI | |
| Family Medicine Physician | 207Q00000X | 250398 | MA | Yes |
Addresses
Primary practice location
111 Grossman Dr
Braintree, MA 02184-4997
Mailing address
111 Grossman Dr
Braintree, MA 02184-4997
Phone (781) 849-1000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebendermd51946@direct.atrius.masshiway.net | ||
| Direct Messaging Address | ebendermd51946@direct.atrius.masshiway.net |
Other providers in Braintree, MA
- Phyllis Louise Belcher
- Elvira K Belenky
- Joshua Bell
- Arlene Bello
- Savanah Benbenek
- Jennifer Benedict
- Kathleen Benitez Rivera
- Leatha Bennett
- Samantha Benoit
- Allison Michelle Bergeron
All providers in Braintree, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.