Dr Jeffrey Green Bennion, MD in North Logan, UT

Dr Jeffrey Green Bennion, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in North Logan, Utah. His current practice location is 2245 N 400 E, Ste 301, North Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 753-7880.

Dr Jeffrey Green Bennion is licensed to practice in Utah (license number 274201-1205) 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 1396731469.

Contact Information

	Dr Jeffrey Green Bennion, MD
	2245 N 400 E, Ste 301, North Logan, UT 84341-1892
	(435) 753-7880
	(435) 753-5845

Map and Direction

Physician's Profile

Full Name	Dr Jeffrey Green Bennion
Gender	Male
Speciality	Otolaryngology - Plastic Surgery Within The Head & Neck
Location	2245 N 400 E, North Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396731469
Provider Enumeration Date: 09/23/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7315012978
Enrollment ID: I20100831000203

Medical Identifiers

Medical identifiers for Dr Jeffrey Green Bennion such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396731469	NPI	-	NPPES
7054	Other	ID	IDAHO BOARD OF PHARMACY
274201-9915	Other	UT	UTAH CONTROLLED SUBSTANCE
M-6924	Other	ID	IDAHO STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0007X	Otolaryngology - Plastic Surgery Within The Head & Neck	274201-1205 (Utah)	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 Jeffrey Green Bennion allows following entities to bill medicare on his behalf.

Entity Name	Cache Valley Ear Nose & Throat, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548303795 PECOS PAC ID: 5193128882 Enrollment ID: O20220216002175

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 Jeffrey Green Bennion 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 Jeffrey Green Bennion, MD 2245 N 400 E, Ste 301, North Logan, UT 84341-1892 Ph: (435) 753-7880	Dr Jeffrey Green Bennion, MD 2245 N 400 E, Ste 301, North Logan, UT 84341-1892 Ph: (435) 753-7880

Reviews and Comments

Otolaryngology Doctors in North Logan, UT

Zachary Robinett, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845
Jackson Walter Deere, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845
Dr. James Wallentine Blotter, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845

Dr Jeffrey Green Bennion, MD - Medicare Otolaryngology in North Logan, UT