Kimberly Christine Benson, PA is a medicare enrolled "Physician Assistant - Medical" in Ponchatoula, Louisiana. Her current practice location is
180 N 5th St, Ponchatoula, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(985) 370-7546.
Kimberly Christine Benson is licensed to practice in Louisiana (license number PA.200302) 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 1336474402.
Provider's Profile
| Full Name | Kimberly Christine Benson |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 180 N 5th St, Ponchatoula, Louisiana |
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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: 1336474402
- Provider Enumeration Date: 10/07/2009
- Last Update Date: 08/28/2013
Medicare PECOS Information:
- PECOS PAC ID: 8224177613
- Enrollment ID: I20150917001417
Medical Identifiers
Medical identifiers for Kimberly Christine Benson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336474402 | NPI | - | NPPES |
| 1807311 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | PA.200302 (Louisiana) | 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. Kimberly Christine Benson 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 |
Kimberly Christine Benson, PA 180 N 5th St, Ponchatoula, LA 70454-2532 Ph: (985) 370-7546 | Kimberly Christine Benson, PA 180 N 5th St, Ponchatoula, LA 70454-2532 Ph: (985) 370-7546 |
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