Benjamin Joseph Condon , PA-C
Physician Assistant • Covington, LA
76 Starbrush Cir
Covington, LA 704337208
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Benjamin Condon is listed in NPPES under Physician Assistant.
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NPI assigned on August 13, 2018; this date does not establish years in practice.
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Published CMS data list 369 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 103 service units.
- 99204 — New patient outpatient office visit: 75 service units.
- 63048 — Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment: 47 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 899 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone Hcl — 318 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 118 prescription fills, including refills.
- Cyclobenzaprine Hcl — 105 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Covington, LA (2024, 19 clinicians with data). Median for this group: 258. Middle half: 80 to 465.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Louisiana (2024, 794 clinicians with data). Median for this group: 152. Middle half: 60 to 383.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 74 in 2020 to 369 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
76 Starbrush Cir
Covington, LA 704337208
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 3 distinct additional practice-address records in Gray, LA; Metairie, LA; Slidell, LA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Diagnostic And Interventional Spinal Care Of Louisiana. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2018
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
171 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $34,020 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $25,086 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
903 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$27,215 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $219.46 across 9 records.
By nature of payment
- Food and Beverage: $219.46 across 9 records.
Reporting-company totals
- Globus Medical, Inc.: $201.88 across 8 records.
- Smith+Nephew, Inc.: $17.58 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Benjamin Condon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Benjamin Condon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Covington and Louisiana
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Covington, LA (2024, 19 clinicians with data). Median for this group: 258. Middle half: 80 to 465.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Louisiana (2024, 794 clinicians with data). Median for this group: 152. Middle half: 60 to 383.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Covington, LA (2024, 19 clinicians with data). Median for this group: $20,481. Middle half: $9,545 to $30,524.
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Louisiana (2024, 794 clinicians with data). Median for this group: $10,920. Middle half: $5,063 to $24,298.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Covington, LA (2024, 19 clinicians with data). Median for this group: $15,356. Middle half: $6,785 to $22,318.
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Louisiana (2024, 794 clinicians with data). Median for this group: $8,082. Middle half: $3,778 to $18,417.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Covington, LA (2024, 21 clinicians with data). Median for this group: 387. Middle half: 153 to 1,004.
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Louisiana (2024, 830 clinicians with data). Median for this group: 245. Middle half: 76 to 659.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Covington, LA (2024, 21 clinicians with data). Median for this group: $10,023. Middle half: $1,477 to $72,235.
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Louisiana (2024, 830 clinicians with data). Median for this group: $2,879. Middle half: $605 to $27,623.
29 active clinicians are listed under Physician Assistant with a practice address in Covington, LA (1,574 in Louisiana).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Covington
20.7% of these 29 clinicians have the CMS telehealth indicator.
62.1% of these 29 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 399% from 74 in 2020 to 369 in 2024.
- 2020: 74
- 2021: 111
- 2022: 165
- 2023: 266
- 2024: 369
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Medicare-allowed amount
Medicare-allowed amount increased 901% from $3,400 in 2020 to $34,020 in 2024.
- 2020: $3,400
- 2021: $6,035
- 2022: $12,859
- 2023: $22,938
- 2024: $34,020
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Paid by Medicare
Paid by Medicare increased 948% from $2,393 in 2020 to $25,086 in 2024.
- 2020: $2,393
- 2021: $4,300
- 2022: $10,078
- 2023: $17,048
- 2024: $25,086
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 343% from 203 in 2020 to 899 in 2024.
- 2020: 203
- 2021: 372
- 2022: 260
- 2023: 658
- 2024: 899
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30-day fills
30-day fills increased 333% from 209 in 2020 to 903 in 2024.
- 2020: 209
- 2021: 400
- 2022: 266
- 2023: 658
- 2024: 903
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Part D drug cost
Part D drug cost increased 1227% from $2,051 in 2020 to $27,215 in 2024.
- 2020: $2,051
- 2021: $3,814
- 2022: $2,813
- 2023: $4,927
- 2024: $27,215
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $53.00 in 2021 to $219.46 in 2025.
- 2021: $53.00
- 2022: $117.94
- 2023: $173.50
- 2024: $241.24
- 2025: $219.46
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $219.46.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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BENDINI | General | $59.00 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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HEDRON | General | $33.34 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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QUARTEX | General | $32.50 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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ALTERA | General | $28.33 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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CREO | General | $21.25 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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COLLAGENASE SANTYL | General | $17.58 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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EXCELSIUS GPS | General | $9.60 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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ADIRA | General | $9.36 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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ADIRA | General | $8.50 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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103 | 81 | $600.00 | $101.67 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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75 | 75 | $810.00 | $133.45 |
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63048
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
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47 | 34 | $2750.00 | $26.98 |
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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40 | 25 | $1875.00 | $33.02 |
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63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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35 | 34 | $5500.00 | $105.38 |
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22845
Placement of stabilizing device to front, 2-3 spine bone segments
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22 | 22 | $2750.00 | $93.10 |
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22558
Fusion of lower spine bone through abdomen with partial removal of disc
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18 | 18 | $1500.72 | $27.95 |
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22612
Fusion of spine in lower back
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18 | 18 | $5500.00 | $202.59 |
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22840
Placement of stabilizing device to back of 1 spine bone in neck
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11 | 11 | $2625.00 | $96.77 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 318 | 2,221 | $2,672.87 | 108 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 118 | 821 | $1,056.47 | 39 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 105 | 1,121 | $358.97 | 52 |
| Pregabalin | Pregabalin | 82 | 2,534 | $775.29 | 40 |
| Tramadol Hcl | Tramadol Hcl | 46 | 351 | $157.65 | 26 |
| Methylprednisolone | Methylprednisolone | 33 | 201 | $211.90 | 32 |
| Nucynta | Tapentadol Hcl | 30 | 209 | $20,795.31 | — |
| Gabapentin | Gabapentin | 27 | 721 | $145.61 | 13 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 20 | 196 | $386.09 | 16 |
| Tizanidine Hcl | Tizanidine Hcl | 20 | 149 | $40.16 | — |
| Diazepam | Diazepam | 18 | 57 | $24.46 | 16 |
| Cephalexin | Cephalexin | 17 | 222 | $203.02 | 16 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 16 | 208 | $109.23 | 15 |
| Ondansetron Hcl | Ondansetron Hcl | 15 | 109 | $108.88 | 13 |
| Carisoprodol | Carisoprodol | 12 | 360 | $76.76 | — |
| Baclofen | Baclofen | 11 | 77 | $49.09 | — |
| Methocarbamol | Methocarbamol | 11 | 124 | $43.16 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-10-12NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20181001002801
LA
1153672191
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Diagnostic And Interventional Spinal Care Of Louisiana
19184 Dr John Lambert Dr, Hammond, LA 704030936
Phone: 9858928934
Diagnostic And Interventional Spinal Care Of Louisiana
76 Starbrush Cir, Covington, LA 704337208
Phone: 9854005778
Diagnostic And Interventional Spinal Care Of Louisiana
76 Starbrush Circle, Covington, LA 704337208
Secondary Practice Locations
1570 Lindberg Dr Ste 4
Slidell, LA 704588084
Phone: 9854005778
123 Frontage Road A
Gray, LA 703596301
Phone: 9854005778
4441 N Interstate 10 Service Rd W
Metairie, LA 70006
Phone: 9854005778
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Student in an Organized Health Care Education/Training Program
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 76 STARBRUSH CIR, COVINGTON, LA 704337208 (Tel: 9854005778)
Registered at 76 STARBRUSH CIR, COVINGTON, LA 704337208 (Tel: 9854005778)
Additional practice office at 4441 N Interstate 10 Service Rd W, Metairie, LA 70006
Additional practice office at 1570 Lindberg Dr Ste 4, Slidell, LA 704588084
Additional practice office at 123 Frontage Road A, Gray, LA 703596301
NPI status registered as active in NPPES database
Registered at 1514 JEFFERSON HWY, NEW ORLEANS, LA 701212429 (Tel: 5048423000)
Registered at 7057 RING NECK DRIVE, MADISONVILLE, LA 70447 (Tel: 5043431108)
Recorded as BENJAMIN CONDON, PA-C
Physician Assistant (license number reported to NPPES: LA 310016)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Covington
- Naomi Pellichino, PA-C
- Krista Dazzo, PA
- Natalie Deggans, PA-C
- Tiffanie Boyce, PA
- Dominique Dolese, PA-C
- Hugo Quevedo, PA-C
Mailing Address
76 Starbrush Cir
Covington, LA 704337208
Phone: 9854005778