Dr Benjamin Ray Eliason, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in South Jordan, Utah. He went to Medical College Of Wisconsin and graduated in 2005 and has 19 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Dynamic Psychiatry Pllc, Canvas Health Inc and his current practice location is
1654 W Reunion Ave Ste 10b, South Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 349-2480.
Dr Benjamin Ray Eliason is licensed to practice in Utah (license number 10366261-1205) 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 1659418267.
Physician's Profile
| Full Name | Dr Benjamin Ray Eliason |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 19 Years |
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| Location | 1654 W Reunion Ave Ste 10b, South Jordan, Utah |
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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 Ray Eliason attended and graduated from Medical College Of Wisconsin in 2005
NPI Data:
- NPI Number: 1659418267
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 11/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789764317
- Enrollment ID: I20170630001006
Medical Identifiers
Medical identifiers for Dr Benjamin Ray Eliason such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659418267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10366261-8905 (Utah) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 75589 (Minnesota) | Secondary |
| 261Q00000X | Clinic/center | MD125756 (Oregon) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD125756 (Oregon) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10366261-1205 (Utah) | 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. Dr Benjamin Ray Eliason allows following entities to bill medicare on his behalf.
| Entity Name | Physician Group Of Utah Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477676930
PECOS PAC ID: 8022032234
Enrollment ID: O20060113000886 |
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| Entity Name | Dynamic Psychiatry Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679225536
PECOS PAC ID: 0840667614
Enrollment ID: O20221108000708 |
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| Entity Name | Zhc Utah Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356073878
PECOS PAC ID: 8022462753
Enrollment ID: O20230928001183 |
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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 Ray Eliason 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 Ray Eliason, MD
10471 S Alexander Park Ln,
South Jordan, UT 84095-3121
Ph: (541) 678-3697 | Dr Benjamin Ray Eliason, MD
1654 W Reunion Ave Ste 10b,
South Jordan, UT 84095-4676
Ph: (801) 349-2480 |
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