Benjamin R Ittleman, MD in Little Rock, AR

Benjamin R Ittleman, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Little Rock, Arkansas. His current practice location is 1 Childrens Way # 512-1, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 364-3418.

Benjamin R Ittleman is licensed to practice in Arkansas (license number E-16679) 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 1093100976.

Contact Information

	Benjamin R Ittleman, MD
	1 Childrens Way # 512-1, Little Rock, AR 72202-3500
	(501) 364-3418
	(501) 364-5262

Map and Direction

Physician's Profile

Full Name	Benjamin R Ittleman
Gender	Male
Speciality	Pediatrics - Pediatric Cardiology
Location	1 Childrens Way # 512-1, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093100976
Provider Enumeration Date: 03/30/2015
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5698081909
Enrollment ID: I20180806000299

Medical Identifiers

Medical identifiers for Benjamin R Ittleman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093100976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E-16679 (Arkansas)	Secondary
208000000X	Pediatrics	042.0014072 (Vermont)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	MD61304160 (Washington)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	E-16679 (Arkansas)	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. Benjamin R Ittleman allows following entities to bill medicare on his behalf.

Entity Name	University Of Vermont Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047

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. Benjamin R Ittleman 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
Benjamin R Ittleman, MD 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100	Benjamin R Ittleman, MD 1 Childrens Way # 512-1, Little Rock, AR 72202-3500 Ph: (501) 364-3418

Reviews and Comments

Pediatrics Doctors in Little Rock, AR

Dr. Michael William Bishop, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way Fl Wing1, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082
Amber Michele Morse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-16, Little Rock, AR 72202 Phone: 501-364-1050 Fax: 501-364-6931
Dustin Edward Williford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-8, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-2963
Kristyn N Jeffries, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418
Thanh Thanh Dai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-24a, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082
Indirapriya Darshini Avulakunta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418
Abdelrahman Masri, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082

Benjamin R Ittleman, MD - Medicare Pediatrics in Little Rock, AR