Richard H Benninger Md Pc is a medicare enrolled "Ophthalmology" provider in Grand Rapids, Michigan. Their current practice location is
833 Michigan St Ne Ste 101, Grand Rapids, Michigan. You can reach out to their office (for appointments etc.) via phone at
(616) 459-3713.
Richard H Benninger Md Pc is licensed to practice in Michigan (license number 4301030073) and it also participates in the medicare program. Richard H Benninger Md Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1275618068.
Healthcare Provider's Profile
| Full Name | Richard H Benninger Md Pc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 833 Michigan St Ne Ste 101, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275618068
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 11/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 7113010885
- Enrollment ID: O20070911000744
Medical Identifiers
Medical identifiers for Richard H Benninger Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275618068 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4901003291 (Michigan) | Secondary |
| 207W00000X | Ophthalmology | 4301030073 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Richard H Benninger Md Pc acts as a billing entity for following providers:
| Provider Name | Heidi Marie Gordon |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1144272618
PECOS PAC ID: 5294747846
Enrollment ID: I20060622000220 |
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| Provider Name | Richard Hugh Benninger |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1275530909
PECOS PAC ID: 8123111895
Enrollment ID: I20070911000736 |
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| Provider Name | Sarah Kay Hansen |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1083902845
PECOS PAC ID: 5193988319
Enrollment ID: I20120524000642 |
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| Provider Name | Carrie M Dewolfe |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1184283285
PECOS PAC ID: 2567878424
Enrollment ID: I20210302000315 |
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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. Richard H Benninger Md Pc 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 |
|---|
Richard H Benninger Md Pc
833 Michigan St Ne Ste 101,
Grand Rapids, MI 49503-2578
Ph: (616) 459-3713 | Richard H Benninger Md Pc
833 Michigan St Ne Ste 101,
Grand Rapids, MI 49503-2578
Ph: (616) 459-3713 |
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