David Hector Benavides, OTR is a medicare enrolled "Occupational Therapist" provider in Sturtevant, Wisconsin. His current practice location is
10340 Washington Ave, Sturtevant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 687-7500.
David Hector Benavides is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457984007.
Healthcare Provider's Profile
| Full Name | David Hector Benavides |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 10340 Washington Ave, Sturtevant, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457984007
- Provider Enumeration Date: 02/21/2020
- Last Update Date: 02/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 0244669299
- Enrollment ID: I20200326003180
Medical Identifiers
Medical identifiers for David Hector Benavides such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457984007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
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. David Hector Benavides allows following entities to bill medicare on his behalf.
| Provider Name | Ascension Medical Group-southeast Wisconsin Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421 |
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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. David Hector Benavides 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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David Hector Benavides, OTR
2932 Buena Park Rd,
Burlington, WI 53105-7949
Ph: (262) 903-1504 | David Hector Benavides, OTR
10340 Washington Ave,
Sturtevant, WI 53177-1607
Ph: (262) 687-7500 |
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