Benjamin E Brewer (NPI# 1184618258, PAC ID# 1052203239) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1184618258 |
PAC ID by PECOS | 1052203239 |
Professional Enrollment ID | I20040824000229 |
Full Name | Benjamin E Brewer |
Organization Legal Name | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
Address |
122 E Wabash Ave Forrest IL 61741-9369 |
Phone Number | 8156578707 |
Gender | M |
Credential | MD |
Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 5092703124 |
Number of Group Practice Members | 83 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
141317 | GIBSON COMMUNITY HOSPITAL |
140161 | SAINT JAMES HOSPITAL |
Address | Phone | Organization |
---|---|---|
122 E Wabash Ave, Forrest, IL 61741-9369 | 8156578707 | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
Organization Legal Name | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
Physicians | 83 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristina Evelyn Dakis | Family Medicine | Gibson Community Hospital Association | 227 N Market St, Paxton, IL 60957-1123 |
Kara Moody | Nurse Practitioner | Gibson Community Hospital Association | 1230 George Rock Dr, Farmer City, IL 61842-9488 |
Tiffany A Rushing | Nurse Practitioner | Gibson Community Hospital Association | 705 S Dixie Hwy, Hoopeston, IL 60942-1904 |
Bernadette M Ray | Family Medicine | Gibson Community Hospital Association | 201 E 8th St, Gibson City, IL 60936-1422 |
Jesse P Butler | Orthopedic Surgery | Gibson Community Hospital Association | 10 Doctors Park, Gibson City, IL 60936-2004 |
Susan K Gray | Nurse Practitioner | Gibson Community Hospital Association | 912 W Seminary Ave, Onarga, IL 60955-1401 |
Frank A Wrestler | Internal Medicine | Gibson Community Hospital Association | 1504 Patton Dr, Suite 2, Mahomet, IL 61853-8126 |
Cynthia Lee | Clinical Social Worker | Gibson Community Hospital Association | 4 Doctors Park, Gibson City, IL 60936-2000 |
Ignacio J Orellana | Family Medicine | Gibson Community Hospital Association | 1120 N Melvin St, Gibson City, IL 60936-1477 |
Prakash Thopiah | Cardiovascular Disease (cardiology) | Gibson Community Hospital Association | 1120 N Melvin St, Gibson City, IL 60936-1477 |
Street Address |
122 E WABASH AVE |
City | FORREST |
State | IL |
Zip | 61741-9369 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren L Lemenager | Physician Assistant | Gibson Community Hospital Association | 122 E Wabash Ave, Forrest, IL 61741-9369 |
City | FORREST |
Zip Code | 61741 |
Specialty | FAMILY MEDICINE |
City + Specialty | FORREST + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.