MEDICARE: PAMELA F BENSIMHON MD

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	208000000X	Pediatrics Physician	9901515	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	189347	OTHER	MEDCOST
4	7523810	OTHER	AETNA
5	142JX	OTHER	BCBS
6	808932	OTHER	PARTNERS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942246319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA F BENSIMHON MD

Provider Business Mailing Address
First Line	:	3912 HAZEL LN
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408-3188
Country	:	US
Telephone Number	:	336-638-6111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 REVOLUTION MILL DR STE 11
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-5086
Country	:	US
Telephone Number	:	336-763-2344
Fax Number	:	336-790-9752

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	04/23/2021

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