Soumya Judson Ben, MD is a medicare enrolled "Pediatrics" physician in Dover, Florida. Her current practice location is
14254 Dr Martin Luther King Jr Blvd, Dover, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 653-6100.
Soumya Judson Ben is licensed to practice in Florida (license number ME142125) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740634518.
Physician's Profile
| Full Name | Soumya Judson Ben |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 14254 Dr Martin Luther King Jr Blvd, Dover, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740634518
- Provider Enumeration Date: 04/19/2016
- Last Update Date: 10/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365738242
- Enrollment ID: I20200806000629
Medical Identifiers
Medical identifiers for Soumya Judson Ben such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740634518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | ME142125 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Soumya Judson Ben allows following entities to bill medicare on her behalf.
| Entity Name | Suncoast Community Health Centers, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285644799 PECOS PAC ID: 3870402548 Enrollment ID: O20040107000797 |
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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. Soumya Judson Ben 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 |
Soumya Judson Ben, MD 14254 Dr Martin Luther King Jr Blvd, Dover, FL 33527-4414 Ph: (813) 653-6100 | Soumya Judson Ben, MD 14254 Dr Martin Luther King Jr Blvd, Dover, FL 33527-4414 Ph: (813) 653-6100 |
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