Physician Compare National (NPI:1689756785)

HEALTHCARE PROVIDER: KRESSIDA CAIN BENSON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689756785
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305934316
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151005000692
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BENSON
	Individual professional last name
Provider First Name	KRESSIDA
	Individual professional first name
Provider Middle Name	CAIN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	PATHOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	THE EAST ALABAMA HEALTH CARE AUTHORITY
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3072403237
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	57
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2000 PEPPERELL PKWY
	Group Practice or individual's line 1 address
City	OPELIKA
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	368015452
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010029
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EAST ALABAMA MEDICAL CENTER AND SNF
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010021
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DALE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y