Thomas E Benjamin, DDS is a medicare enrolled "Dentist - General Practice" provider in Eagle Butte, South Dakota. His current practice location is
24276 166th St. Airport Road, Eagle Butte, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 964-0788.
Thomas E Benjamin is licensed to practice in Washington (license number DE9223) 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 1508081324.
Healthcare Provider's Profile
Full Name | Thomas E Benjamin |
---|
Gender | Male |
---|
Speciality | Dentist - General Practice |
---|
Location | 24276 166th St. Airport Road, Eagle Butte, South Dakota |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508081324
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 09/10/2013
Medicare PECOS Information:
- PECOS PAC ID: 4486962230
- Enrollment ID: I20150929001219
Medical Identifiers
Medical identifiers for Thomas E Benjamin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508081324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DE9223 (Washington) | 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. Thomas E Benjamin allows following entities to bill medicare on his behalf.
Entity Name | Eagle Butte Indian Health Service Hospital |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1558395848 PECOS PAC ID: 7517852759 Enrollment ID: O20040217001024 |
---|
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. Thomas E Benjamin 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 |
Thomas E Benjamin, DDS Po Box 590, 24276 166th Street Airport Road, Eagle Butte, SD 57625-0590 Ph: (605) 964-0788 | Thomas E Benjamin, DDS 24276 166th St. Airport Road, Eagle Butte, SD 57625-0590 Ph: (605) 964-0788 |
Reviews and Comments