Dr Jack Bendavid, DC is a medicare enrolled "Chiropractor" provider in Valley Glen, California. He graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as Chiropractic. His current practice location is
12444 Victory Blvd Ste 103, Valley Glen, California. You can reach out to his office (for appointments etc.) via phone at
(818) 755-8588.
Dr Jack Bendavid is licensed to practice in California (license number 22285) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1891878872.
Healthcare Provider's Profile
| Full Name | Dr Jack Bendavid |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 34 Years |
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| Location | 12444 Victory Blvd Ste 103, Valley Glen, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jack Bendavid graduated from medical school in 1991
NPI Data:
- NPI Number: 1891878872
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 04/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719076157
- Enrollment ID: I20071207000506
Medical Identifiers
Medical identifiers for Dr Jack Bendavid such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891878872 | NPI | - | NPPES |
| 1891878872 | Other | CA | NPI# |
| H-98-40451-4 | Other | CA | DEPT HEALTH/HUMAN SERVICES OI FILE # |
| 68-0603965 | Other | CA | TAX ID # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 22285 (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. Dr Jack Bendavid 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 |
|---|
Dr Jack Bendavid, DC
6107 Bluebell Ave,
North Hollywood, CA 91606-4414
Ph: (818) 755-8588 | Dr Jack Bendavid, DC
12444 Victory Blvd Ste 103,
Valley Glen, CA 91606-3156
Ph: (818) 755-8588 |
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