Ben Prom
NPI 1629733415ActiveIndividual· Physician Assistant· Juneau, AK
Physician Assistant with Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc. and 1 other group, practicing in Juneau, Alaska. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Lists Aspirus Divine Savior Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1629733415 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 5, 2021 |
| Last updated in NPPES | Nov 5, 2021 |
| Certified by provider | Nov 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AK); Practitioner - Physician Assistant (WI) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Rhinelander, WI · 574 clinicians
- Divine Savior Healthcare IncPortage, WI · 141 clinicians
Hospital affiliations
- Aspirus Divine Savior HospitalPortage, WI
- Aspirus Rhinelander HospitalRhinelander, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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