Jack Nils Benson, DO - Urology in Phoenix, AZ

Jack Nils Benson, DO is a Urology physician based in Phoenix, Arizona. Jack Nils Benson is licensed to practice in Arizona (license number 1521) and his current practice location is 19841 N 27th Ave, Suite 201, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (623) 582-6420.

NPI number for Jack Nils Benson is 1972512655 and his current mailing address is 19841 N 27th Ave, Suite 201, Phoenix, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972512655.

Contact Information

Jack Nils Benson, DO
19841 N 27th Ave, Suite 201,
Phoenix, AZ 85027-4005
(623) 582-6420
(623) 582-6720

Map and Direction




Physician's Profile

Full NameJack Nils Benson
GenderMale
SpecialityUrology
Location19841 N 27th Ave, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972512655
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 01/04/2008

Medical Identifiers

Medical identifiers for Jack Nils Benson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972512655NPI-NPPES
AZ0066690OtherAZBLUECROSSBLUESHIELDAZ
1Z0539OtherAZHEALTHNET
4316747OtherAZAETNA
246729MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 1521 (Arizona)Primary

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. Jack Nils Benson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Nils Benson, DO
19841 N 27th Ave, Suite 201,
Phoenix, AZ 85027-4005

Ph: (623) 582-6420
Jack Nils Benson, DO
19841 N 27th Ave, Suite 201,
Phoenix, AZ 85027-4005

Ph: (623) 582-6420

Reviews and Comments


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