Benjamin Larry Jenkins Jr.


Address: 111 La Grange Ave, La Plata, MD 20646-9592
Phone: 3019342887

Benjamin Larry Jenkins Jr. (NPI# 1437291713, PAC ID# 7315124955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1437291713
PAC ID by PECOS 7315124955
Professional Enrollment ID I20110607000565
Full Name Benjamin Larry Jenkins Jr.
Address 111 La Grange Ave
La Plata
MD 20646-9592
Phone Number 3019342887
Gender M
Medical School UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 1984
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210035 UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER
210028 MEDSTAR SAINT MARY'S HOSPITAL

Other Locations

Address Phone Organization
111 La Grange Ave, La Plata, MD 20646-9592 3019342887

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 111 LA GRANGE AVE
City LA PLATA
State MD
Zip 20646-9592

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Competitor

Search similar physicians

City LA PLATA
Zip Code 20646
Specialty INTERNAL MEDICINE
City + Specialty LA PLATA + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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