Benny O Iko, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fairfax Station, Virginia. His current practice location is
5812 Hannora Ln, Fairfax Station, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 764-8012.
Benny O Iko is licensed to practice in Virginia (license number 0101046304) 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 1922008325.
Physician's Profile
Full Name | Benny O Iko |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 5812 Hannora Ln, Fairfax Station, Virginia |
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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: 1922008325
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 12/04/2009
Medicare PECOS Information:
- PECOS PAC ID: 9436198363
- Enrollment ID: I20170718001427
Medical Identifiers
Medical identifiers for Benny O Iko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922008325 | NPI | - | NPPES |
010144108 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 0101046304 (Virginia) | 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. Benny O Iko allows following entities to bill medicare on his behalf.
Entity Name | Washington Imaging Associates - Maryland Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366634107 PECOS PAC ID: 2264606094 Enrollment ID: O20170510000059 |
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Entity Name | Southern Radiology Groups |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902518236 PECOS PAC ID: 5799159521 Enrollment ID: O20230320000026 |
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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. Benny O Iko 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 |
Benny O Iko, MD 5812 Hannora Ln, Fairfax Station, VA 22039-1428 Ph: (703) 764-8012 | Benny O Iko, MD 5812 Hannora Ln, Fairfax Station, VA 22039-1428 Ph: (703) 764-8012 |
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