Miss Ann Elizabeth Benavidez, OD is a medicare enrolled "Optometrist" provider in Belcourt, North Dakota. Her current practice location is
1300 Hospital Loop, Belcourt, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 477-6111.
Miss Ann Elizabeth Benavidez is licensed to practice in Pennsylvania (license number OEG003094) 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 1598141939.
Healthcare Provider's Profile
| Full Name | Miss Ann Elizabeth Benavidez |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 1300 Hospital Loop, Belcourt, North Dakota |
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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: 1598141939
- Provider Enumeration Date: 08/08/2015
- Last Update Date: 07/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 6406133271
- Enrollment ID: I20170503002195
Medical Identifiers
Medical identifiers for Miss Ann Elizabeth Benavidez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598141939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OEG003094 (Pennsylvania) | 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. Miss Ann Elizabeth Benavidez allows following entities to bill medicare on her behalf.
| Provider Name | Quentin N Burdick Comprehensive Health Care Facility |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1952346934
PECOS PAC ID: 5496651853
Enrollment ID: O20031208001052 |
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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. Miss Ann Elizabeth Benavidez 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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Miss Ann Elizabeth Benavidez, OD
Po Box 160,
Belcourt, ND 58316-0160
Ph: (701) 477-6111 | Miss Ann Elizabeth Benavidez, OD
1300 Hospital Loop,
Belcourt, ND 58316-0160
Ph: (701) 477-6111 |
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