Dr. Michael John Benoit

M.D. | Pediatric Adolescent Medicine | Male

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Complete Profile:

Dr. Michael John Benoit basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Dr. Michael John Benoit
Credential :	M.D.
Gender :	Male

Business Address:

Dr. Michael John Benoit address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1322 Elton Rd, Suite D Jennings, LA, 70546-4138 United States
Phone Number :	337-824-1111
Fax Number :	337-824-1122

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1235199795
NPI Entity Type :	Individual
First Enrolment Date :	27 Mar, 2006
Last Updated On :	29 Feb, 2016

Medicare Participation:

Dr. Michael John Benoit participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6002876224
Medicare Enrollment ID :	I20041013000007
Primary Specialty :	Pediatric Medicine
Medical School :	Louisiana State University School Of Medicine In Shreveport
Graduation Year :	2004
Accepts Medicare?	Yes. Dr. Michael John Benoit accepts medicare insurance.

Group Practice Association:

Dr. Michael John Benoit is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Michael John Benoit is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ochsner American Legion Hospital, Llc	4688051717	21	1322 Elton Rd Suite F Ochsner Hlth Ctr Jennings Jennings, LA - 705464100 Ph: 3378248868	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael John Benoit are as mentioned. Primary taxonomy code for Dr. Michael John Benoit, M.D. is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	024980	LA
2080A0000X	Pediatrics Adolescent Medicine	Yes	024980	LA

Legacy Identifiers:

Other legacy medical identifiers of Dr. Michael John Benoit such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
45-0506014	Other		TAX ID
1445151	MEDICAID	LA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1322 Elton Rd, Suite D Jennings, LA, 70546-4138 United States
Phone Number :	337-824-1111
Fax Number :	337-824-1122

Business Location:

Patients can refer following map for directions to Dr. Michael John Benoit practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.