Dr Benjamin Salazar Yabut Jr, MD is a medicare enrolled "Pediatrics" physician in Fort Riley, Kansas. His current practice location is
650 Huebner Rd, Fort Riley, Kansas. You can reach out to his office (for appointments etc.) via phone at
(316) 321-3300.
Dr Benjamin Salazar Yabut Jr is licensed to practice in Kansas (license number 0444021) 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 1215915194.
Physician's Profile
| Full Name | Dr Benjamin Salazar Yabut Jr |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 650 Huebner Rd, Fort Riley, 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: 1215915194
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537428446
- Enrollment ID: I20200416001279
Medical Identifiers
Medical identifiers for Dr Benjamin Salazar Yabut Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215915194 | NPI | - | NPPES |
| 036-085422 | Medicaid | IL | |
| 0007055591 | Other | | AETNA |
| 0001635078 | Other | | BLUE CROSS BLUE SHIELD OF ILLINOIS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 04-44021 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | 0444021 (Kansas) | Secondary |
| 208000000X | Pediatrics | 01041325A (Indiana) | Secondary |
| 208D00000X | General Practice | 0444021 (Kansas) | Secondary |
| 208000000X | Pediatrics | 0444021 (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. Dr Benjamin Salazar Yabut Jr allows following entities to bill medicare on his behalf.
| Entity Name | Progressive Community Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720153653
PECOS PAC ID: 2466366059
Enrollment ID: O20031118000358 |
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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. Dr Benjamin Salazar Yabut Jr 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 |
|---|
Dr Benjamin Salazar Yabut Jr, MD
650 Huebner Rd,
Fort Riley, KS 66442-4030
Ph: () - | Dr Benjamin Salazar Yabut Jr, MD
650 Huebner Rd,
Fort Riley, KS 66442-4030
Ph: (316) 321-3300 |
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