Marilyn Bartolo Benoit, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

8469 Issued in DC

Practice address

1015 33Rd St NW
Suite 115
Washington, DC 20007-3523

Phone

(202) 607-3032

Fax

(202) 363-4621

NPI assigned

Feb 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 2, 2016 through Feb 2, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558405506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 33RD ST NW",
            "address_2": "SUITE 115",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073523",
            "telephone_number": "202-607-3032",
            "fax_number": "202-363-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 33RD ST NW",
            "address_2": "SUITE 115",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073523",
            "telephone_number": "202-607-3032",
            "fax_number": "202-363-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "MARILYN",
        "middle_name": "BARTOLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DC",
            "license": "8469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300040",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benning Road Primary Care and Pysician Wieght Loss PC
• Benning Road Primary Care PC
• Alfonzo Jamaine Benning
• Ellie C Benning
• Kacie Benning
• Benons LLC (Falcon Transport)
• Marie-Anne Benovil-Murphy, PHARMD
• Adeline Benovil
• Amanda G Benson, PA
• Arnetta Benson

• Child & Adolescent Psychiatry Physician in Washington, DC
• Providers in Washington, DC by specialty
• Child & Adolescent Psychiatry Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.