Benjamin Reyes Mandac, MD in Santa Clara, CA - Medicare Physical Medicine & Rehabilitation

Benjamin Reyes Mandac, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine" physician in Santa Clara, California. His current practice location is 710 Lawrence Expy, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (408) 851-5000.

Benjamin Reyes Mandac is licensed to practice in California (license number G55790) 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 1427014190.

Contact Information

	Benjamin Reyes Mandac, MD
	710 Lawrence Expy, Santa Clara, CA 95051-5173
	(408) 851-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Benjamin Reyes Mandac
Gender	Male
Speciality	Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine
Location	710 Lawrence Expy, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427014190
Provider Enumeration Date: 04/21/2006
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9234235235
Enrollment ID: I20070508000659

Medical Identifiers

Medical identifiers for Benjamin Reyes Mandac such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427014190	NPI	-	NPPES
00G557900	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081P0010X	Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine	G55790 (California)	Primary
208000000X	Pediatrics	G55790 (California)	Secondary

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 Reyes Mandac allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Reyes Mandac 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 Reyes Mandac, MD 1558 Guadalajara Dr, San Jose, CA 95120-4814 Ph: (408) 833-5129	Benjamin Reyes Mandac, MD 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-5000

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Santa Clara, CA

Richard S Kim, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2885 Kaiser Dr, Building A, Santa Clara, CA 95051 Phone: 408-851-9200 Fax: 408-851-9201
Todd T. Nguyen, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2885 Kaiser Dr, Santa Clara, CA 95051 Phone: 408-236-6400
April Mancuso, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1871 Martin Ave, Nmci Medical Clinic, Inc, Santa Clara, CA 95050 Phone: 808-463-9234 Fax: 408-988-8585
Dr. Rhonda A Weiss, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2885 Kaiser Dr, Bldg A, Santa Clara, CA 95051 Phone: 408-851-9200

Benjamin Reyes Mandac, MD - Medicare Physical Medicine & Rehabilitation in Santa Clara, CA