Dr Benjamin Lee Hensley, DO - Medicare General Surgery in Summersville, WV

Dr Benjamin Lee Hensley, DO is a medicare enrolled "Surgery" physician in Summersville, West Virginia. He went to West Virginia School Of Osteopathic Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Braxton County Memorial Hospital, West Virginia Health Care Cooperative Inc and his current practice location is 400 Fairview Heights Rd, Summersville, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 872-5124.

Dr Benjamin Lee Hensley is licensed to practice in West Virginia (license number 2403) 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 1932303682.

Contact Information

Dr Benjamin Lee Hensley, DO
400 Fairview Heights Rd,
Summersville, WV 26651-9308
(304) 872-5124
(304) 872-0409

Map and Direction




Physician's Profile

Full NameDr Benjamin Lee Hensley
GenderMale
SpecialityGeneral Surgery
Experience20 Years
Location400 Fairview Heights Rd, Summersville, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Benjamin Lee Hensley attended and graduated from West Virginia School Of Osteopathic Medicine in 2004
  NPI Data:
  • NPI Number: 1932303682
  • Provider Enumeration Date: 06/14/2007
  • Last Update Date: 04/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507910817
  • Enrollment ID: I20090821000066

Medical Identifiers

Medical identifiers for Dr Benjamin Lee Hensley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932303682NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2403 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summersville Regional Medical CenterSummersville, WVHospital
Braxton County Memorial Hospital, IncGassaway, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Braxton County Memorial Hospital519371775923
West Virginia Health Care Cooperative Inc983043103045

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. Dr Benjamin Lee Hensley allows following entities to bill medicare on his behalf.
Entity NameBraxton County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356304547
PECOS PAC ID: 5193717759
Enrollment ID: O20040401001560
Entity NameWest Virginia Health Care Cooperative Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417415324
PECOS PAC ID: 9830431030
Enrollment ID: O20190508000440
Entity NameWest Virginia Health Care Cooperative Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1043778319
PECOS PAC ID: 9830431030
Enrollment ID: O20190531001788

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. Dr Benjamin Lee Hensley 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 AddressPractice Location Address
Dr Benjamin Lee Hensley, DO
400 Fairview Heights Rd,
Summersville, WV 26651-9308

Ph: (304) 872-5124
Dr Benjamin Lee Hensley, DO
400 Fairview Heights Rd,
Summersville, WV 26651-9308

Ph: (304) 872-5124

Reviews and Comments


Surgery Doctors in Summersville, WV

Bandy B Mullins, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 400 Fairview Heights Rd, Summersville, WV 26651
Phone: 304-872-8404    Fax: 304-872-0409

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.