Benjamin Luis Egusquiza, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Winter Springs, Florida. His current practice location is
1030 Spring Villas Pt Ste 3000, Winter Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(330) 536-3746.
Benjamin Luis Egusquiza is licensed to practice in Florida (license number ME122406) 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 1073889150.
Physician's Profile
| Full Name | Benjamin Luis Egusquiza |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1030 Spring Villas Pt Ste 3000, Winter Springs, Florida |
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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: 1073889150
- Provider Enumeration Date: 03/22/2012
- Last Update Date: 04/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426367244
- Enrollment ID: I20151019001239
Medical Identifiers
Medical identifiers for Benjamin Luis Egusquiza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073889150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | R0563 (Texas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME122406 (Florida) | 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 Luis Egusquiza allows following entities to bill medicare on his behalf.
| Entity Name | Che Behavioral Health Services Of Florida, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932721206
PECOS PAC ID: 5698185775
Enrollment ID: O20201030000621 |
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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 Luis Egusquiza 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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Benjamin Luis Egusquiza, MD
320 S Flamingo Rd # 208,
Pembroke Pines, FL 33027-1770
Ph: (305) 798-4224 | Benjamin Luis Egusquiza, MD
1030 Spring Villas Pt Ste 3000,
Winter Springs, FL 32708-5242
Ph: (330) 536-3746 |
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