MEDICARE: STEPHEN BENECK 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	208100000X	Physical Medicine & Rehabilitation Physician	C10004585	DE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	250008131	OTHER	DE	RAILROAD 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
3	0975123	OTHER	DE	AETNA-HMO
4	510329923	OTHER	DE	UNITED HEALTH CARE
5	439833	OTHER	DE	AMERIHEALTH-PPO
6	4832427	OTHER	DE	CIGNA
7	510329923	OTHER	DE	TRICARE STANDARD
8	4398882	OTHER	DE	AETNA - PPO
9	293737	OTHER	DE	MAMSI/OPTIMUM CHOICE
10	386606954	OTHER	DE	BC/BS
11	P1860867	OTHER	DE	OXFORD HEALTH PLAN
12	0000681801	OTHER	DE	DE PHYSICIAN CARE
13	46958	OTHER	DE	COVENTRY
14	0283766000	OTHER	DE	AMERIHEALTH HMO

General Provider Information

NPI Number	:	1437240140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN BENECK M.D.

Provider Business Mailing Address
First Line	:	2006 FOULK RD STE B
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19810-3644
Country	:	US
Telephone Number	:	302-529-8783
Fax Number	:	302-529-7470

Provider Business Practice Location Address
First Line	:	2006 FOULK RD STE B
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19810-3644
Country	:	US
Telephone Number	:	302-529-8783
Fax Number	:	302-529-7470

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/08/2007

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