Benjamin Pease
Individual provider Active NPI Acute Care Nurse Practitioner · Linthicum Heights, MD
NPI 1487061289 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1487061289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- R213031 (MD)
- Practice address
- 785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958 - Phone
- (774) 264-0423
- Fax
- (732) 605-5932
- NPI assigned
- Jul 14, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R213031 | MD | Yes |
Addresses
Primary practice location
785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958
Mailing address
785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958
Phone (774) 264-0423
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541033900 | Medicaid | MD |
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- Olabimpe Ojebode
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- Chisom Faith Onwuegbu
- Tierra Perry
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- Realluxee LLCC
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All providers in Linthicum Heights, MD · Acute Care Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.