Gregory Benz, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Chicago, Illinois. His current practice location is
1969 W Ogden Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 864-0395.
Gregory Benz is licensed to practice in * (Not Available) (license number ) 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 1396480216.
Healthcare Provider's Profile
| Full Name | Gregory Benz |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1969 W Ogden Ave, Chicago, Illinois |
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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: 1396480216
- Provider Enumeration Date: 05/04/2022
- Last Update Date: 05/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799167987
- Enrollment ID: I20220804002010
Medical Identifiers
Medical identifiers for Gregory Benz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396480216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 1 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Gregory Benz 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 |
Gregory Benz, DMD 1969 W Ogden Ave, Chicago, IL 60612-3765 Ph: () - | Gregory Benz, DMD 1969 W Ogden Ave, Chicago, IL 60612-3765 Ph: (312) 864-0395 |
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