Benjamin Louis Ten Eyck, MD is a medicare enrolled "Anesthesiology" physician in Keesler Afb, Mississippi. His current practice location is
301 Fisher St, Keesler Afb, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(480) 292-6918.
Benjamin Louis Ten Eyck is licensed to practice in Texas (license number BP10067092) 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 1124688999.
Physician's Profile
Full Name | Benjamin Louis Ten Eyck |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 301 Fisher St, Keesler Afb, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124688999
- Provider Enumeration Date: 06/14/2019
- Last Update Date: 07/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224364088
- Enrollment ID: I20241008003287
Medical Identifiers
Medical identifiers for Benjamin Louis Ten Eyck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124688999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | BP10067092 (Texas) | 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 Louis Ten Eyck allows following entities to bill medicare on his behalf.
Entity Name | Usa Health Anesthesia Billing Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629635818 PECOS PAC ID: 1153659123 Enrollment ID: O20190829000530 |
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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. Benjamin Louis Ten Eyck 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 Louis Ten Eyck, MD 15204 S 20th St, Phoenix, AZ 85048-4104 Ph: (480) 292-6918 | Benjamin Louis Ten Eyck, MD 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (480) 292-6918 |
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