MEDICARE: DR. KANDICE KRISTEN WAUL-BENNETT 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	MD459240	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1467891184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KANDICE KRISTEN WAUL-BENNETT M.D.

Provider Business Mailing Address
First Line	:	5831 FORWARD AVE STE 1037
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2301
Country	:	US
Telephone Number	:	412-446-8058
Fax Number	:

Provider Business Practice Location Address
First Line	:	5831 FORWARD AVE STE 1037
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2301
Country	:	US
Telephone Number	:	412-446-8058
Fax Number	:

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

Provider Enumeration Date	:	06/15/2013
Last Update Date	:	01/08/2024

Similar Medicare Providers

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1831448695 — MR. PETER ANTHONY BRAASCH M.AC., L.AC.
Practice Location Address:

2301 MURRAY AVE
PITTSBURGH, PA
15217-2355

Practice Phone: 412-400-8135
Practice Fax:

1124436902 — HALLIE FOSTER BCBA, LBS, LBA
Practice Location Address:

5831 FORWARD AVE
PITTSBURGH, PA
15217-2301

Practice Phone: 412-256-8425
Practice Fax:

1043696628 — BRAASCH ACUPUNCTURE, LLC
Practice Location Address:

2301 MURRAY AVE
PITTSBURGH, PA
15217-2355

Practice Phone: 412-400-8135
Practice Fax: 888-977-9201

1700254976 — MS. TASHA PETERSON LCSW
Practice Location Address:

5831 FORWARD AVE # 1319
PITTSBURGH, PA
15217-2301

Practice Phone: 412-564-3856
Practice Fax:

1700365459 — NATOSHA HABIG LCSW
Practice Location Address:

5831 FORWARD AVE UNIT 470
PITTSBURGH, PA
15217-2301

Practice Phone: 513-334-7170
Practice Fax:

Directions to “ DR. KANDICE KRISTEN WAUL-BENNETT M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.