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Mary K Benjamin

Social Worker

Behavioral Health & Social Service Providers

291 Main St, Suite 10, Milford, MA 01757

PECOS Enrollment

This provider is enrolled in PECOS as MARY BENJAMIN.

Based on the most recent information from CMS, provider Mary K Benjamin is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1619091444
Provider Type
Individual
Full Name
Benjamin, Mary K
Credential
LICSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/19/2007
Last Updated
7/21/2022

Contact Information

Practice Location

291 Main St, Suite 10, Milford, MA 01757

(401) 419-5147

(508) 377-4106

Mailing Location

49 Tyler Dr, Oxbridge, MA 01589

(401) 419-5147

(508) 377-4106

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CSW01001 Rhode Island

Mary K Benjamin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kerr, Joanne

Altman, Nancy

Wilson, Alexandra

St.Dennis, Walter R

Mclean, Gabrielle

Shaw, Brittany J

Steinberg, Lisabeth

Thompson, Pamela Corinne

Giardini, Sarah

Feldman-Kingsbury, Judith Leslie