Individual ProviderLinda BenjaminPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9015 N 3rd St, Phoenix, AZ 85020-2444(480) 882-4545PECOS EnrollmentBased on the most recent information from CMS, provider Linda Benjamin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689180341Provider TypeIndividualFull NameBenjamin, LindaCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date12/18/2017Last Updated5/29/2025Contact InformationPractice LocationPractice Address9015 N 3rd St, Phoenix, AZ 85020-2444Phone(480) 882-4545Fax(602) 714-3755Mailing LocationMailing Address7500 N Dreamy Draw Dr Ste 145, Phoenix, AZ 85020-4668Phone(480) 882-4545FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense6999ArizonaCode208100000XDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense6999Arizona