Individual ProviderBenjamin McavinewNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4580 Stephens Cir NW Ste 202, Canton, OH 44718-3645(330) 597-2815(330) 962-4443PECOS EnrollmentBased on the most recent information from CMS, provider Benjamin Mcavinew 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 ID1427599091Provider TypeIndividualFull NameMcavinew, BenjaminTitleMr.CredentialAPRNGenderMaleSole ProprietorYesEnumeration Date3/16/2017Last Updated7/21/2021Contact InformationPractice LocationPractice Address4580 Stephens Cir NW Ste 202, Canton, OH 44718-3645Phone(330) 597-2815Fax(330) 244-8839Mailing LocationMailing Address6781 Vanburen Rd, Clinton, OH 44216Phone(330) 962-4443FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN.CNP.020353Ohio