Dr Benjamin P Debelak, DO - Medicare Orthopedic Surgery in Gallatin, TN

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Dr Benjamin P Debelak, DO is a medicare enrolled "Orthopaedic Surgery" physician in Gallatin, Tennessee. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Premier Orthopaedics And Sports Medicine Plc, Select Physical Therapy Holdings Inc and his current practice location is 253 W Main St, Gallatin, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 826-7171.

Dr Benjamin P Debelak is licensed to practice in Tennessee (license number 3817) 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 1790808848.

Contact Information

Dr Benjamin P Debelak, DO
253 W Main St,
Gallatin, TN 37066-3290
(615) 826-7171
Not Available

Map and Direction




Physician's Profile

Full NameDr Benjamin P Debelak
GenderMale
SpecialityOrthopedic Surgery
Experience19 Years
Location253 W Main St, Gallatin, Tennessee
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 P Debelak graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1790808848
  • Provider Enumeration Date: 04/06/2007
  • Last Update Date: 09/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1456543743
  • Enrollment ID: I20191008002051

Medical Identifiers

Medical identifiers for Dr Benjamin P Debelak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790808848NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 2014-00194 (North Carolina)Secondary
207X00000XOrthopaedic Surgery 3817 (Tennessee)Primary
207X00000XOrthopaedic Surgery 2014-00194 (North Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health ServicesGoodlettsville, TNHome health agency
Northcrest Medical CenterSpringfield, TNHospital
Sumner Regional Medical CenterGallatin, TNHospital
Tristar Skyline Medical CenterNashville, TNHospital
Tristar Summit Medical CenterHermitage, TNHospital
Tristar Hendersonville Medical CenterHendersonville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Orthopaedics And Sports Medicine Plc903202332042
Select Physical Therapy Holdings Inc95370764011487

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 P Debelak allows following entities to bill medicare on his behalf.
Entity NamePremier Orthopaedics & Sports Medicine Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972577351
PECOS PAC ID: 9032023320
Enrollment ID: O20040301001152

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 P Debelak 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 P Debelak, DO
Po Box 370,
Fortson, GA 31808-0370

Ph: () -		Dr Benjamin P Debelak, DO
253 W Main St,
Gallatin, TN 37066-3290

Ph: (615) 826-7171

Reviews and Comments


Orthopaedic Surgery Doctors in Gallatin, TN

Brian Edward Koch, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 270 E Main St Ste 300, Gallatin, TN 37066
Phone: 615-675-2000    Fax: 615-278-1672
John R Weaver, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 300 Steam Plant Rd., Suite 300, Gallatin, TN 37066
Phone: 615-461-7335    Fax: 615-449-4835
Paul W. Grutter, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 270 E Main St Ste 300, Gallatin, TN 37066
Phone: 615-278-1673    Fax: 615-278-1672
Dr. Kelly S Barry, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 300 Steam Plant Rd Ste 300, Gallatin, TN 37066
Phone: 615-328-3740    

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.