Dr Jose Bato Benigno Jr, MD | |
115 W 42nd St, Odessa, TX 79764-4001 | |
(432) 367-4817 | |
(432) 367-4813 |
Full Name | Dr Jose Bato Benigno Jr |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 41 Years |
Location | 115 W 42nd St, Odessa, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881784643 | NPI | - | NPPES |
092555-04 | Medicaid | TX | |
1717217-01 | Medicaid | TX | |
1717217-02 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K9021 (Texas) | Secondary |
208000000X | Pediatrics | K9021 (Texas) | Secondary |
208D00000X | General Practice | K9021 (Texas) | Primary |
Entity Name | Jose B Benigno Medical Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841380615 PECOS PAC ID: 3476444027 Enrollment ID: O20040323000670 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose Bato Benigno Jr, MD 115 W 42nd St, Odessa, TX 79764-4001 Ph: (432) 367-4817 | Dr Jose Bato Benigno Jr, MD 115 W 42nd St, Odessa, TX 79764-4001 Ph: (432) 367-4817 |
Dr. Kent Andrew Boucher, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5011 | |
Weldon Fred Butler, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 700 Dotsy Ave, Odessa, TX 79763 Phone: 432-333-3295 Fax: 432-333-8840 | |
Dr. David Barry Willingham, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 4222 Wendover Ave, Suite 600, Odessa, TX 79762 Phone: 432-552-5656 Fax: 432-552-0992 | |
Richard P Bartlett, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1330 E 8th St, Suite 310, Odessa, TX 79761 Phone: 432-631-2178 Fax: 432-558-7064 |