Bennett J Ezekiel, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Georgetown, Texas. His current practice location is
1900 Scenic Dr Ste 1108, Georgetown, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 400-4195.
Bennett J Ezekiel is licensed to practice in Texas (license number N6287) 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 1477734721.
Physician's Profile
| Full Name | Bennett J Ezekiel |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1900 Scenic Dr Ste 1108, Georgetown, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477734721
- Provider Enumeration Date: 11/15/2007
- Last Update Date: 02/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 7911198940
- Enrollment ID: I20110513000444
Medical Identifiers
Medical identifiers for Bennett J Ezekiel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477734721 | NPI | - | NPPES |
| 282030002 | Medicaid | TX | |
| 282030003 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | N6287 (Texas) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | N6287 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | N6287 (Texas) | 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. Bennett J Ezekiel allows following entities to bill medicare on his behalf.
| Entity Name | Central Texas Anesthesia Partners Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134761935
PECOS PAC ID: 2961828264
Enrollment ID: O20200813002208 |
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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. Bennett J Ezekiel 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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Bennett J Ezekiel, MD
Po Box 674029,
Dallas, TX 75267-4029
Ph: (512) 400-4195 | Bennett J Ezekiel, MD
1900 Scenic Dr Ste 1108,
Georgetown, TX 78626-7724
Ph: (512) 400-4195 |
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