Dr Benjamin T Esparaz, MD - Medicare Hematology/oncology in Decatur, IL

Dr Benjamin T Esparaz, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Decatur, Illinois. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Cancer Care Specialists Of Central Illinois Sc and his current practice location is 210 W Mckinley Ave Ste 1, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 876-6600.

Dr Benjamin T Esparaz is licensed to practice in Illinois (license number 036071926) 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 1275502940.

Contact Information

Dr Benjamin T Esparaz, MD
210 W Mckinley Ave Ste 1,
Decatur, IL 62526-5858
(217) 876-6600
(217) 876-6606

Map and Direction




Physician's Profile

Full NameDr Benjamin T Esparaz
GenderMale
SpecialityHematology/oncology
Experience44 Years
Location210 W Mckinley Ave Ste 1, Decatur, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Benjamin T Esparaz graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1275502940
  • Provider Enumeration Date: 03/15/2006
  • Last Update Date: 12/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204740442
  • Enrollment ID: I20070921000723

Medical Identifiers

Medical identifiers for Dr Benjamin T Esparaz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275502940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 036071926 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pana Community HospitalPana, ILHospital
St Anthonys Memorial HospitalEffingham, ILHospital
Decatur Memorial HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cancer Care Specialists Of Central Illinois Sc599161911626

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 T Esparaz allows following entities to bill medicare on his behalf.
Entity NameCancer Care Specialists Of Central Illinois Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871580142
PECOS PAC ID: 5991619116
Enrollment ID: O20031113000022

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 T Esparaz 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 AddressPractice Location Address
Dr Benjamin T Esparaz, MD
210 W Mckinley Ave Ste 1,
Decatur, IL 62526-5858

Ph: (217) 876-6600
Dr Benjamin T Esparaz, MD
210 W Mckinley Ave Ste 1,
Decatur, IL 62526-5858

Ph: (217) 876-6600

Reviews and Comments


Internal Medicine Doctors in Decatur, IL

Dr. Jeffrey P Wilson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-8121    
Dr. Jeanne Marie Kairouz, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521
Phone: 217-422-6100    
Dr. Stephen R Goetter, M.D.
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526
Phone: 217-876-5600    Fax: 217-876-5664
Dr. Prameeta Jha,
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526
Phone: 217-876-3660    Fax: 217-876-3665
David W Baumberger, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526
Phone: 217-876-5600    Fax: 217-876-5664
Dr. Ahmad H Ahmad, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1770 E Lake Shore Dr, Suite 201, Decatur, IL 62521
Phone: 217-428-7921    Fax: 217-428-7931
Nadal M Aker, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Suite 2400, Decatur, IL 62526
Phone: 217-876-2400    Fax: 217-876-2405

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.