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Benjamin Aaron Wyler

Emergency Medicine

Allopathic & Osteopathic Physicians

100 Nicolls Rd Rm 80, Stony Brook, NY 11794-1029

PECOS Enrollment

This provider is enrolled in PECOS as BENJAMIN WYLER.

Based on the most recent information from CMS, provider Benjamin Aaron Wyler is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1174829261
Provider Type
Individual
Full Name
Wyler, Benjamin Aaron
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
2/7/2011
Last Updated
4/11/2018

Contact Information

Practice Location

100 Nicolls Rd Rm 80, Stony Brook, NY 11794-1029

(631) 444-2478

Unlisted Fax

Mailing Location

PO Box 1559, Stony Brook, NY 11790-0989

(631) 444-2478

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 2899191 New York
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 289919 New York
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A115590 California

Benjamin Aaron Wyler

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Chale, Stuart