Cape Cod Plastic & Hand Surgeons, Inc.
Organization Active NPI Surgery of the Hand (Surgery) Physician · West Yarmouth, MA
NPI 1295878171 · NPPES record last updated Nov 14, 2012
Key facts
- NPI
- 1295878171
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery of the Hand (Surgery) Physician 2086S0105X
- License
- 76228 (MA)
- Legal business name
- CAPE COD PLASTIC & HAND SURGEONS, INC.
- Practice address
- 150 Ansel Hallet Rd
Suite a
West Yarmouth, MA 02673-2582 - Phone
- (508) 771-4263
- Fax
- (508) 771-7906
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Peter Edward Bentivegna, MD
- Title
- President
- Phone
- (508) 771-4263
Practitioners 3
-
Peter Edward Bentivegna, M.D.
-
Alissa A Devito, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060405000566 | MA | Part B Supplier - Clinic/Group Practice | 2365450152 |
Receives reassigned benefits from 1 practitioner Practice locations: West Yarmouth, MA |
National Provider Directory
Locations
160 Falmouth Rd
Ste A
Mashpee, MA 02649
Phone (774) 521-3624
150 Ansel Hallet Rd
#A
West Yarmouth, MA 02673
Phone (508) 771-4263
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician |
208200000X | 76228 | MA | |
| Surgery of the Hand (Plastic Surgery) Physician |
2082S0105X | 76228 | MA | |
| Surgery of the Hand (Surgery) Physician |
2086S0105X | 76228 | MA | Yes |
| Plastic and Reconstructive Surgery Physician |
2086S0122X | 76228 | MA |
Addresses
Primary practice location
150 Ansel Hallet Rd
Suite a
West Yarmouth, MA 02673-2582
Mailing address
PO Box 693
South Yarmouth, MA 02664-0693
Phone (508) 771-4263
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 614206 | Other | MA | TUFTS HEALTH PLANS PAYEE |
Other providers in West Yarmouth, MA
- Mary Elizabeth Butler Minor
- Magali Geoconda Calle
- Cape Cod Medical Enterprises Inc
- Cape Cod Medical Enterprises Inc
- Cape Cod Medical Enterprises Inc
- Steven Caradimos
- Taylor Hilst Cardelli
- Margaret M Carra
- Audrey S Chan
- Cynthia Jean Christian
All providers in West Yarmouth, MA · Surgery of the Hand (Surgery) 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 Nov 14, 2012. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.