Benjamin Tate Fedeles, MD in Montgomery, OH - Medicare Internal Medicine

Benjamin Tate Fedeles, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Montgomery, Ohio. His current practice location is 10500 Montgomery Rd, Montgomery, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 865-2246.

Benjamin Tate Fedeles is licensed to practice in Ohio (license number 35.142433) 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 1932561792.

Contact Information

	Benjamin Tate Fedeles, MD
	10500 Montgomery Rd, Montgomery, OH 45242-4402
	(513) 865-2246
	(513) 865-5552

Map and Direction

Physician's Profile

Full Name	Benjamin Tate Fedeles
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	10500 Montgomery Rd, Montgomery, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932561792
Provider Enumeration Date: 03/22/2016
Last Update Date: 07/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3375838121
Enrollment ID: I20211111002828

Medical Identifiers

Medical identifiers for Benjamin Tate Fedeles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932561792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	35.142433 (Ohio)	Primary
207L00000X	Anesthesiology	35.142433 (Ohio)	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 Tate Fedeles allows following entities to bill medicare on his behalf.

Entity Name	University Of Cincinnati Physicians Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123

Entity Name	Trihealth H Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811215742 PECOS PAC ID: 1850570458 Enrollment ID: O20110128000356

Entity Name	Dayton Anesthesia & Pain Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655

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 Tate Fedeles 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 Tate Fedeles, MD 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-2246	Benjamin Tate Fedeles, MD 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-2246

Reviews and Comments

Internal Medicine Doctors in Montgomery, OH

Syed Shad Mahmood, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 Fax: 513-865-5552
Dr. Saulius K Girnius, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 10506a Montgomery Rd, Montgomery, OH 45242 Phone: 513-853-1300 Fax: 513-451-4118
Ellis A Green, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 Fax: 513-865-5552
John A Eckman, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 10597 Montgomery Rd Ste 200, Montgomery, OH 45242 Phone: 513-793-6861 Fax: 513-985-2743
Mohammed Ali Mohammed Al-amoodi, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 300a, Montgomery, OH 45242 Phone: 513-246-2400 Fax: 513-246-4050
Dr. Omar H Jawaid, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 10506a Montgomery Rd, Montgomery, OH 45242 Phone: 513-246-2343 Fax: 513-865-9916
Mohammad Khalouck Abdrabbo, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 10600 Montgomery Rd, Montgomery, OH 45242 Phone: 513-853-9250

Benjamin Tate Fedeles, MD - Medicare Internal Medicine in Montgomery, OH