Fred Benson, OWNER - Licensed Vocational Nurse in Fort Wayne, IN

Fred Benson, OWNER is a Licensed Vocational Nurse based in Fort Wayne, Indiana. Fred Benson is licensed to practice in Indiana (license number 27064077A) and his current practice location is 2478 Lake Ave, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 387-6396.

NPI number for Fred Benson is 1639899297 and his current mailing address is 2478 Lake Ave, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639899297.

Contact Information

Fred Benson, OWNER
2478 Lake Ave,
Fort Wayne, IN 46805-5406
(260) 387-6396
(260) 387-6370



Provider's Profile

Full NameFred Benson
GenderMale
SpecialityLicensed Vocational Nurse
Location2478 Lake Ave, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639899297
  • Provider Enumeration Date: 09/01/2022
  • Last Update Date: 09/01/2022

Medical Identifiers

Medical identifiers for Fred Benson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639899297NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 27064077A (Indiana)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. Fred Benson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fred Benson, OWNER
2478 Lake Ave,
Fort Wayne, IN 46805-5406

Ph: (260) 387-6396
Fred Benson, OWNER
2478 Lake Ave,
Fort Wayne, IN 46805-5406

Ph: (260) 387-6396

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› Verified 5 days ago


Licensed Vocational Nurse Nurses in Fort Wayne, IN


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