Mr Roosevelt Bennett Jr, AA-C - Medicare Anesthesiologist Assistant in Jacksonville, FL

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Mr Roosevelt Bennett Jr, AA-C is a medicare enrolled "Anesthesiologist Assistant" in Jacksonville, Florida. His current practice location is 807 Childrens Way, Nemours Childrens Specialty Care, Jacksonville, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 697-3600.

Mr Roosevelt Bennett Jr is licensed to practice in Florida (license number AA100) 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 1184900177.

Contact Information

Mr Roosevelt Bennett Jr, AA-C
807 Childrens Way, Nemours Childrens Specialty Care, Jacksonville,
Jacksonville, FL 32207-8426
(904) 697-3600
(904) 697-3927

Map and Direction




Provider's Profile

Full NameMr Roosevelt Bennett Jr
GenderMale
SpecialityAnesthesiologist Assistant
Location807 Childrens Way, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184900177
  • Provider Enumeration Date: 10/23/2011
  • Last Update Date: 01/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9436323771
  • Enrollment ID: I20111122000513

Medical Identifiers

Medical identifiers for Mr Roosevelt Bennett Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184900177NPI-NPPES
004228800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant AA100 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Roosevelt Bennett Jr allows following entities to bill medicare on his behalf.
Entity NameThe Nemours Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386658615
PECOS PAC ID: 9537072483
Enrollment ID: O20040109000252
Entity NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594
Entity NameBrevard Physician Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598008955
PECOS PAC ID: 1850535048
Enrollment ID: O20130909000619

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 Roosevelt Bennett Jr 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 AddressPractice Location Address
Mr Roosevelt Bennett Jr, AA-C
Po Box 191, Provider Enrollment Department,
Rockland, DE 19732-0191

Ph: (904) 697-4201		Mr Roosevelt Bennett Jr, AA-C
807 Childrens Way, Nemours Childrens Specialty Care, Jacksonville,
Jacksonville, FL 32207-8426

Ph: (904) 697-3600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.