Beautine Benbow, CRNP - Medicare Nurse Practitioner in Philadelphia, PA

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Beautine Benbow, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Philadelphia, Pennsylvania. Her current practice location is 8001 State Rd, Mod Ii, Suite 106, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 624-2565.

Beautine Benbow is licensed to practice in Pennsylvania (license number SP014229) 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 1508269119.

Contact Information

Beautine Benbow, CRNP
8001 State Rd, Mod Ii, Suite 106,
Philadelphia, PA 19136-2908
(215) 624-2565
Not Available

Map and Direction




Physician's Profile

Full NameBeautine Benbow
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location8001 State Rd, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508269119
  • Provider Enumeration Date: 09/28/2014
  • Last Update Date: 10/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4486992732
  • Enrollment ID: I20190212000060

Medical Identifiers

Medical identifiers for Beautine Benbow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508269119NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 0024177046 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health SP014229 (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. Beautine Benbow allows following entities to bill medicare on her behalf.
Entity NameSouthside Community Services Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700890761
PECOS PAC ID: 4284660507
Enrollment ID: O20050708000612
Entity NamePiedmont Regional Community Services Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699754010
PECOS PAC ID: 0345215208
Enrollment ID: O20090319000311

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. Beautine Benbow 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 AddressPractice Location Address
Beautine Benbow, CRNP
825 Solly Ave Fl 2,
Philadelphia, PA 19111-1923

Ph: (512) 651-5623		Beautine Benbow, CRNP
8001 State Rd, Mod Ii, Suite 106,
Philadelphia, PA 19136-2908

Ph: (215) 624-2565

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.