Dr Benjamin Ira Blank, DO is a medicare enrolled "Family Medicine" physician in Glendora, New Jersey. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Advocare Llc and his current practice location is
1300 Black Horse Pike, Glendora, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 939-2828.
Dr Benjamin Ira Blank is licensed to practice in New Jersey (license number 25MB06092600) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891786455.
Physician's Profile
| Full Name | Dr Benjamin Ira Blank |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 31 Years |
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| Location | 1300 Black Horse Pike, Glendora, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Benjamin Ira Blank attended and graduated from Philadelphia College Of Osteopathic Medicine in 1993
NPI Data:
- NPI Number: 1891786455
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 09/25/2012
Medicare PECOS Information:
- PECOS PAC ID: 4981648854
- Enrollment ID: I20050613000722
Medical Identifiers
Medical identifiers for Dr Benjamin Ira Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891786455 | NPI | - | NPPES |
| 7016905 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 25MB06092600 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Advocare Llc | 3678562188 | 297 |
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. Dr Benjamin Ira Blank allows following entities to bill medicare on his behalf.
| Entity Name | Advocare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770538696
PECOS PAC ID: 3678562188
Enrollment ID: O20040510001217 |
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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. Dr Benjamin Ira Blank 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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Dr Benjamin Ira Blank, DO
402 Lippincott Dr,
Marlton, NJ 08053-4112
Ph: (856) 782-3300 | Dr Benjamin Ira Blank, DO
1300 Black Horse Pike,
Glendora, NJ 08029-1308
Ph: (856) 939-2828 |
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