| Dr William Joseph Benevento, MD | |
|
777 Tanglefoot Lane, Eye Surgeons Associates Pc, Bettendorf, IA 52722-1650 | |
| (563) 323-2020 | |
| (563) 328-5694 |
| Full Name | Dr William Joseph Benevento |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 35 Years |
| Location | 777 Tanglefoot Lane, Bettendorf, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134106594 | NPI | - | NPPES |
| 036088865 | Medicaid | IL | |
| 0060350 | Other | IA | IA GROUP MEDICAID # |
| 790730 | Other | IL | IL GROUP MEDICARE # |
| 26568 | Other | IA | IA GROUP MEDICARE # |
| 0114074 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 036-088865 (Illinois) | Secondary |
| 207W00000X | Ophthalmology | 30004 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Surgeons Associates Pc | 4183521206 | 19 |
| Eye Surgeons Associates Pc | 4183521206 | 19 |
| Entity Name | Eye Surgeons Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386607562 PECOS PAC ID: 4183521206 Enrollment ID: O20050525000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Joseph Benevento, MD 777 Tanglefoot Lane, Eye Surgeons Associates Pc, Bettendorf, IA 52722-1650 Ph: (563) 323-2020 | Dr William Joseph Benevento, MD 777 Tanglefoot Lane, Eye Surgeons Associates Pc, Bettendorf, IA 52722-1650 Ph: (563) 323-2020 |
Dr. John Charles Frederick, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 777 Tanglefoot Ln, Eye Surgeons Associates Pc, Bettendorf, IA 52722 Phone: 563-323-2020 Fax: 563-328-5694 | |
Beth R Repp, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 777 Tanglefoot Ln, Bettendorf, IA 52722 Phone: 563-323-2020 Fax: 563-328-5694 | |
Daniel J Repp, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 777 Tanglefoot Ln, Bettendorf, IA 52722 Phone: 563-323-2020 Fax: 633-285-6995 | |
Richard Wilkins Yemm, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 777 Tanglefoot Ln, Bettendorf, IA 52722 Phone: 563-323-2020 Fax: 563-328-5699 | |
Dr. Carlton Robert Fenzl, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 777 Tanglefoot Ln, Bettendorf, IA 52722 Phone: 563-323-2020 Fax: 563-459-6615 | |
Dr. Paul Norman Arnold, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 777 Tanglefoot Ln, Bettendorf, IA 52722 Phone: 563-323-2020 Fax: 563-328-5694 |