BENJAMIN C DICKERT; NPI #1831388552

Contact Information

BENJAMIN C DICKERT

222 CAREW ST STE 101
SPRINGFIELD, MA 01104-4105

Phone: 413-736-3225
Fax: 413-736-3382
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Podiatrist	213E00000X	48	Podiatry
Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BENJAMIN C DICKERT

NPI # 1831388552

LBN Legal business name BENJAMIN C DICKERT

Authorized official BENJAMIN DICKERT - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/18/2007

Last updated 03/28/2024 - About 2 years ago

Identifiers

MA	License #	PD1884
MA	Medicaid	0310832
MA	Medicaid	0362662
	Other	Y77346	BLUE CROSS GROUP
CT	Other	6332349	CIGNA
MA	Other	Y70887	BLUE CROSS
MA	Other	Y71046	BLUE CROSS
MA	Other	000000028039	BMC
MA	Other	00000006878	BMC
MA	Other	333305	HARVARD PILGRIM
MA	Other	33901	HARVARD PILGRIM
MA	Other	0002099	TUFTS
MA	Other	7390036	TUFTS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BENJAMIN C DICKERT

Contact Information

Specialty

Podiatrist

Surgery, Foot

NPI Profile & details for BENJAMIN C DICKERT

Reviews for BENJAMIN C DICKERT