Benjamin Nissen, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Avon, Colorado. He went to University Of Oklahoma College Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Eagle Valley Mental Health and his current practice location is
50 Buck Creek Rd Ste 200, Avon, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 926-6340.
Benjamin Nissen is licensed to practice in Colorado (license number DR.0065872) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649701541.
Physician's Profile
| Full Name | Benjamin Nissen |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 7 Years |
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| Location | 50 Buck Creek Rd Ste 200, Avon, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Benjamin Nissen attended and graduated from University Of Oklahoma College Of Medicine in 2017
NPI Data:
- NPI Number: 1649701541
- Provider Enumeration Date: 03/22/2017
- Last Update Date: 05/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406128552
- Enrollment ID: I20210727003433
Medical Identifiers
Medical identifiers for Benjamin Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649701541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | DR.0065872 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eagle Valley Mental Health | 6204297450 | 18 |
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. Benjamin Nissen allows following entities to bill medicare on his behalf.
| Entity Name | Colorado Mountain Medical, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730747445
PECOS PAC ID: 5496087181
Enrollment ID: O20191030000595 |
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| Entity Name | Eagle Valley Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972267292
PECOS PAC ID: 6204297450
Enrollment ID: O20230803002737 |
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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. Benjamin Nissen 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 |
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Benjamin Nissen,
Po Box 4330,
Avon, CO 81620-4330
Ph: (970) 926-6340 | Benjamin Nissen,
50 Buck Creek Rd Ste 200,
Avon, CO 81620-5428
Ph: (970) 926-6340 |
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