Benjamin H Venger (NPI# 1992761910, PAC ID# 5294625802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1992761910 |
| PAC ID by PECOS | 5294625802 |
| Professional Enrollment ID | I20090414000548 |
| Full Name | Benjamin H Venger |
| Organization Legal Name | TRI-STATE MEDICAL SPECIALISTS LLC |
| Address |
1987 Mcculloch Blvd N Suite 101 Lake Havasu City AZ 86403-5770 |
| Phone Number | 9287883333 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1983 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT, NEUROSURGERY |
| Group Practice PAC ID | 1850422023 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030101 | WESTERN ARIZONA REGIONAL MEDICAL CENTER |
| 030117 | VALLEY VIEW MEDICAL CENTER |
| 030069 | HAVASU REGIONAL MEDICAL CENTER |
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1987 Mcculloch Blvd N, Suite 101, Lake Havasu City, AZ 86403-5770 | 9287883333 | TRI-STATE MEDICAL SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | TRI-STATE MEDICAL SPECIALISTS LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine R Nevels | Nurse Practitioner | Tri-state Medical Specialists LLC | 1510 E Wagon Wheel Ln, Suite 110, Ft Mohave, AZ 86426-6697 |
| Jaspreet Singh | Pain Management | Tri-state Medical Specialists LLC | 1510 E Wagon Wheel Ln, Suite 110, Ft Mohave, AZ 86426-6697 |
| Okey Iloegbunam | Nurse Practitioner | Tri-state Medical Specialists LLC | 1510 E Wagon Wheel Ln, Suite 110, Ft Mohave, AZ 86426-6697 |
| Jack Diep | Pain Management | Tri-state Medical Specialists LLC | 1510 E Wagon Wheel Ln, Suite 110, Ft Mohave, AZ 86426-6697 |
| Mary D Janikowski | Internal Medicine | Tri-state Medical Specialists LLC | 1987 Mcculloch Blvd N, Suite 101, Lake Havasu City, AZ 86403-5770 |
| Han-chin C Huang | Nurse Practitioner | Tri-state Medical Specialists LLC | 1987 Mcculloch Blvd N, Lake Havasu City, AZ 86403-5770 |
| Street Address |
1987 MCCULLOCH BLVD N SUITE 101 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-5770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary D Janikowski | Internal Medicine | Tri-state Medical Specialists LLC | 1987 Mcculloch Blvd N, Suite 101, Lake Havasu City, AZ 86403-5770 |
| Han-chin C Huang | Nurse Practitioner | Tri-state Medical Specialists LLC | 1987 Mcculloch Blvd N, Lake Havasu City, AZ 86403-5770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Essa J Sidiqi | Family Medicine | Lake Havasu Primary Care Pllc | 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 |
| Harley Finkle | Chiropractic | 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0962 | |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Paul E Klein | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Annette Baccus | Nurse Practitioner | Havasu Regional Medical Center LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Christian L Grandell | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Peter H Dux | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Jeffrey J Carls | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Lisa V Williams | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Bridget C Conley | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Find all physicians in zip 86403 | |||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | LAKE HAVASU CITY + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Benjamin H Venger.
| 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.