Benny Lee Short, MD is a medicare enrolled "Emergency Medicine" physician in Dodge City, Kansas. His current practice location is
200 W Ross Blvd, Dodge City, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 371-7300.
Benny Lee Short is licensed to practice in Kansas (license number 04-28386) 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 1104854553.
Physician's Profile
| Full Name | Benny Lee Short |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 200 W Ross Blvd, Dodge City, Kansas |
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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: 1104854553
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 01/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779574009
- Enrollment ID: I20040524001144
Medical Identifiers
Medical identifiers for Benny Lee Short such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104854553 | NPI | - | NPPES |
| 102645 | Other | KS | BC/BS |
| 100354710C | Medicaid | KS | |
| 100354710I | Medicaid | KS | |
| 100354710H | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 04-28386 (Kansas) | Secondary |
| 207P00000X | Emergency Medicine | 04-28386 (Kansas) | 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. Benny Lee Short allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Services Of Kansas, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023397098
PECOS PAC ID: 2062683808
Enrollment ID: O20110927000555 |
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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. Benny Lee Short 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 |
|---|
Benny Lee Short, MD
200 W Ross Blvd,
Dodge City, KS 67801-7221
Ph: (620) 371-7300 | Benny Lee Short, MD
200 W Ross Blvd,
Dodge City, KS 67801-7221
Ph: (620) 371-7300 |
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