Benyamin Y Ebrahim, MD is a medicare enrolled "Ophthalmology" physician in Antioch, Tennessee. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Antioch Eye Care Center, Physician And Surgeon, Pllc and his current practice location is
522 Bell Rd, Antioch Eye Care Center, Physician & Surgeon, Pllc, Antioch, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 361-7266.
Benyamin Y Ebrahim is licensed to practice in Tennessee (license number 49780) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1508024415.
Physician's Profile
Full Name | Benyamin Y Ebrahim |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 16 Years |
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Location | 522 Bell Rd, Antioch, Tennessee |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Benyamin Y Ebrahim graduated from medical school in 2008
NPI Data:
- NPI Number: 1508024415
- Provider Enumeration Date: 05/28/2008
- Last Update Date: 06/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456596626
- Enrollment ID: I20130604000102
Medical Identifiers
Medical identifiers for Benyamin Y Ebrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508024415 | NPI | - | NPPES |
1531656 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 49780 (Tennessee) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Antioch Eye Care Center, Physician And Surgeon, Pllc | 4688996531 | 5 |
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. Benyamin Y Ebrahim allows following entities to bill medicare on his behalf.
Entity Name | Antioch Eye Care Center, Physician & Surgeon, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629477831 PECOS PAC ID: 4688996531 Enrollment ID: O20141203000990 |
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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. Benyamin Y Ebrahim 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 |
Benyamin Y Ebrahim, MD 522 Bell Rd, Antioch Eye Care Center, Physician & Surgeon, Pllc, Antioch, TN 37013-2002 Ph: (615) 361-7266 | Benyamin Y Ebrahim, MD 522 Bell Rd, Antioch Eye Care Center, Physician & Surgeon, Pllc, Antioch, TN 37013-2002 Ph: (615) 361-7266 |
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