Ms Kiesha Nicole Benn, MD, FACOG is a medicare enrolled "Obstetrics & Gynecology" physician in Mary Esther, Florida. She graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Owensboro Health Medical Group Inc and her current practice location is
350 Michael Ct, Mary Esther, Florida. You can reach out to her office (for appointments etc.) via phone at
(917) 826-1353.
Ms Kiesha Nicole Benn is licensed to practice in Texas (license number V4641) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447468863.
Physician's Profile
| Full Name | Ms Kiesha Nicole Benn |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 20 Years |
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| Location | 350 Michael Ct, Mary Esther, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kiesha Nicole Benn graduated from medical school in 2005
NPI Data:
- NPI Number: 1447468863
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 09/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395887996
- Enrollment ID: I20220519000763
Medical Identifiers
Medical identifiers for Ms Kiesha Nicole Benn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447468863 | NPI | - | NPPES |
| 1447468863 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | V4641 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Owensboro Health Medical Group Inc | 0648255034 | 435 |
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. Ms Kiesha Nicole Benn allows following entities to bill medicare on her behalf.
| Entity Name | Owensboro Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235518242
PECOS PAC ID: 0648255034
Enrollment ID: O20040621000818 |
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| Entity Name | Access Telecare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013303080
PECOS PAC ID: 7810204831
Enrollment ID: O20211012000873 |
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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. Ms Kiesha Nicole Benn 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 |
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Ms Kiesha Nicole Benn, MD, FACOG
350 Michael Ct,
Mary Esther, FL 32569-2738
Ph: (917) 826-1353 | Ms Kiesha Nicole Benn, MD, FACOG
350 Michael Ct,
Mary Esther, FL 32569-2738
Ph: (917) 826-1353 |
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