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Stephen Patrick Bender

Anesthesiology

Allopathic & Osteopathic Physicians

111 Colchester Ave, Burlington, VT 05401-1473

PECOS Enrollment

This provider is enrolled in PECOS as STEPHEN BENDER.

Based on the most recent information from CMS, provider Stephen Patrick Bender 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 5 days ago.

Profile Details

Provider ID
1548484157
Provider Type
Individual
Full Name
Bender, Stephen Patrick
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/13/2007
Last Updated
1/7/2015

Contact Information

Practice Location

111 Colchester Ave, Burlington, VT 05401-1473

(802) 847-2415

(802) 847-5324

Mailing Location

PO Box 1063, Burlington, VT 05402-1063

(802) 847-2415

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 042-0011769 Vermont

Provider Identifiers

ID	Description	Issuer
ID 042-0011769	Description Other	Issuer STATE LICENSE Vermont

Stephen Patrick Bender

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Bull, Michael

Kreutz, Joseph M

Fitzgerald, Joseph R

Kristensen, Eva A

Davidson, Melissa L.

Hamlin, Mark P

Horoszczak, Cassian Michael

O'Donnell, Stephen

Walker, Matthew W.

Hieronimus, Robert Isaac