Tayler M. Benner, PA-C
Individual provider Active NPI Physician Assistant · Plymouth, MA
NPI 1972089969 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1972089969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA7394 (MA)
- Practice address
- 36 Shops at 5 Way
Plymouth, MA 02360-2677 - Phone
- (508) 747-1443
- NPI assigned
- Jul 13, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Atrius Health Inc
Convenientmd - FFS UC LLC
Practice addresses (Care Compare)
100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200409000275 | MA | Practitioner - Physician Assistant | 5597016006 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA7394 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Physician Assistant | Current |
Accepting new patients |
| Atrius Health, Inc. | Physician Assistant | Current |
Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
75 Francis St
Boston, MA 02115
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
36 Shops At 5 Way
Plymouth, MA 02360
Phone (617) 657-6445
Interoperability endpoints
- tmurraypac319735@direct.atrius.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA7394 | MA | Yes |
Addresses
Primary practice location
36 Shops at 5 Way
Plymouth, MA 02360-2677
Mailing address
36 Shops at 5 Way
Plymouth, MA 02360-2677
Other providers in Plymouth, MA
- Roberta Beller
- John Belton
- Stephanie Christine Benash
- Jessica L Benaski
- Patricia Ann Benner
- Sara Pomeroy Bennett
- Wendy Bennett
- Kathleen Bentley
- Cynthia Jean Benton
- Sarah A Benton
All providers in Plymouth, MA · Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. 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.