Benjamin Brewer, PA-C
Individual provider Active NPI Surgical Physician Assistant · Chesterton, IN
NPI 1265835953 · NPPES record last updated Aug 19, 2016
Key facts
- NPI
- 1265835953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 10001737A (IN)
- Practice address
- 601 Gateway Blvd N
Chesterton, IN 46304-9658 - Phone
- (219) 921-1444
- Fax
- (219) 926-6926
- NPI assigned
- Oct 8, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nchmd Inc
Practice addresses (Care Compare)
11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000
350 7TH St N
Naples, FL 34102-5754
680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711
Hospital & facility affiliations
- Naples Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.25 of 100
- Quality
- 87.73
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190923000212 | FL | Practitioner - Physician Assistant | 3779704622 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd, Inc | Current |
Accepting new patients | |
| Nchmd Inc | Current |
Accepting new patients | |
| Prohealth Select, Inc. | Surgical | Past |
Accepting new patients |
| Cardiac Surgery Associates SC | Past | Accepting new patients |
Locations
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10001737A | IN | Yes |
Addresses
Primary practice location
601 Gateway Blvd N
Chesterton, IN 46304-9658
Mailing address
601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444
Other providers in Chesterton, IN
- Katherine Brankin
- Vanessa Trina Bravo
- Kendra Nicole Brazier
- Ma Carmel Quijada Breidigan
- Joseph Brett
- Brian C. McGue DDS PC
- Daaiyah Brooks
- Alina Broski I
- Marc S Bruell
- Mary Lee Buckman
All providers in Chesterton, IN · Surgical Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2016. 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.