Individual ProviderYedidya BenavieEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1872 St Lukes Blvd, Easton, PA 18045-5669(484) 526-1000PECOS EnrollmentBased on the most recent information from CMS, provider Yedidya Benavie 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 3 days ago.Profile DetailsProvider ID1821664780Provider TypeIndividualFull NameBenavie, YedidyaTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date6/1/2021Last Updated6/1/2021Contact InformationPractice LocationPractice Address1872 St Lukes Blvd, Easton, PA 18045-5669Phone(484) 526-1000FaxUnlisted FaxMailing LocationMailing Address1700 St Lukes Blvd, Easton, PA 18045-5670Phone(484) 526-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseMT223424Pennsylvania