Individual
DR. PRASERT VIJITBENJARONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 ST FRANCIS WAY STE 200, LAFAYETTE, IN 47905-4940
(765) 775-2800
(765) 775-2831
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2004009714
MO
207RC0000X
Cardiovascular Disease Physician
01090864A
IN
207RC0000X
Cardiovascular Disease Physician
2004009714
MO
207RI0011X
Interventional Cardiology Physician
Primary
01090864A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126814
BCBS
—
05
—
155765001
—
AR
05
—
155783001
—
AR
01
—
190900
BLUE CROSS BLUE CHOICE
MO
01
—
190900
BCBS
—
05
—
207663907
—
MO
01
—
250766
HEALTHLINK
—
01
—
653949
HEALTHLINK
MO
01
—
P00244271
RAILROAD MEDICARE
—
Enumeration date
12/05/2005
Last updated
04/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us