Individual ProviderBenjamin KensingStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address11937 Us Highway 271, Tyler, TX 75708-3154(903) 877-7777PECOS EnrollmentBased on the most recent information from CMS, provider Benjamin Kensing is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1265016398Provider TypeIndividualFull NameKensing, BenjaminCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/5/2021Last Updated6/1/2021Contact InformationPractice LocationPractice Address11937 Us Highway 271, Tyler, TX 75708-3154Phone(903) 877-7777FaxUnlisted FaxMailing LocationMailing Address11937 Us Highway 271, Tyler, TX 75708-3154Phone(903) 877-7777FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10075210TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP1005210Texas