Peter Ward Benoit
Case Manager/Care Coordinator in Wasilla, AK. Individual provider (NPI-1).
NPI number1083237705
StatusActive
Last updated in NPPESMay 28, 2020
Details
- NPI
- 1083237705
- Entity type
- Individual (NPI-1)
- Name
- Peter Ward Benoit
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 28, 2020
- Certification date
- May 28, 2020
- Last updated
- May 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1363 W Spruce AveWasilla, AK 99654-5327
Phone 907-376-2411
Mailing address
1363 W Spruce AveWasilla, AK 99654-5327
Phone 907-376-2411
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 167 Case Manager/Care Coordinator providers in Wasilla · All 3,076 providers in Wasilla
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