Mr Eric Gust Benson, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Waterford, California. His current practice location is
12700 Welch St, Waterford, California. You can reach out to his office (for appointments etc.) via phone at
(209) 874-2345.
Mr Eric Gust Benson is licensed to practice in California (license number 13248) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649527664.
Provider's Profile
Full Name | Mr Eric Gust Benson |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 12700 Welch St, Waterford, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649527664
- Provider Enumeration Date: 08/08/2012
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335410455
- Enrollment ID: I20201008000126
Medical Identifiers
Medical identifiers for Mr Eric Gust Benson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649527664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 492134 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 13248 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Eric Gust Benson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Eric Gust Benson, RN, FNP 434 E Fairmont Ave, Modesto, CA 95354-0207 Ph: (209) 918-7033 | Mr Eric Gust Benson, RN, FNP 12700 Welch St, Waterford, CA 95386-8765 Ph: (209) 874-2345 |
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