Benjamin Maximilian Vannorden Tartter, in Kettering, OH - Medicare Student in an Organized Health Care Education/Training Program

Benjamin Maximilian Vannorden Tartter, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kettering, Ohio. His current practice location is 3525 Southern Blvd, Kettering, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 395-8839.

Benjamin Maximilian Vannorden Tartter is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720668031.

Contact Information

	Benjamin Maximilian Vannorden Tartter,
	3525 Southern Blvd, Kettering, OH 45429-1221
	(937) 395-8839
	(937) 395-8387

Physician's Profile

Full Name	Benjamin Maximilian Vannorden Tartter
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	3525 Southern Blvd, Kettering, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720668031
Provider Enumeration Date: 04/11/2021
Last Update Date: 03/17/2023

Medicare PECOS Information:

PECOS PAC ID: 9032528872
Enrollment ID: I20210507002197

Medical Identifiers

Medical identifiers for Benjamin Maximilian Vannorden Tartter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720668031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	320722 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Maximilian Vannorden Tartter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Benjamin Maximilian Vannorden Tartter, 3525 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-8839	Benjamin Maximilian Vannorden Tartter, 3525 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-8839

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Benjamin Maximilian Vannorden Tartter, - Medicare Student in an Organized Health Care Education/Training Program in Kettering, OH