MEDICARE: PAULA M. BENCHIK-ABRINKO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01045436	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110236598	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255389573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA M. BENCHIK-ABRINKO M.D.

Provider Business Mailing Address
First Line	:	1534 119TH ST
Second Line	:
City	:	WHITING
State	:	IN
Zip	:	46394-1733
Country	:	US
Telephone Number	:	219-659-1222
Fax Number	:	219-659-0428

Provider Business Practice Location Address
First Line	:	1534 119TH ST
Second Line	:
City	:	WHITING
State	:	IN
Zip	:	46394-1733
Country	:	US
Telephone Number	:	219-659-1222
Fax Number	:	219-659-0428

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	11/23/2009

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Directions to “ PAULA M. BENCHIK-ABRINKO M.D.” Practice Location

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