Dr Justin Michael Bennink, MD in San Ysidro, CA

Dr Justin Michael Bennink, MD is a medicare enrolled "Family Medicine" physician in San Ysidro, California. He went to University Of California, Irvine, California College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 4004 Beyer Blvd, San Ysidro, California. You can reach out to his office (for appointments etc.) via phone at (619) 662-4100.

Dr Justin Michael Bennink is licensed to practice in California (license number A138477) 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 1083033146.

Contact Information

	Dr Justin Michael Bennink, MD
	4004 Beyer Blvd, San Ysidro, CA 92173-2007
	(619) 662-4100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Justin Michael Bennink
Gender	Male
Speciality	Family Practice
Experience	10 Years
Location	4004 Beyer Blvd, San Ysidro, California
Accepts Medicare Assignments	Yes. 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 Justin Michael Bennink attended and graduated from University Of California, Irvine, California College Of Medicine in 2014

NPI Data:

NPI Number: 1083033146
Provider Enumeration Date: 04/15/2014
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 5092008276
Enrollment ID: I20170712002940

Medical Identifiers

Medical identifiers for Dr Justin Michael Bennink such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083033146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A138477 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Zion	San diego, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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 Justin Michael Bennink allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

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 Justin Michael Bennink 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
Dr Justin Michael Bennink, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 662-4100	Dr Justin Michael Bennink, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 662-4100

Reviews and Comments

Family Medicine Doctors in San Ysidro, CA

Jay Downey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-424-4463 Fax: 619-428-7952
Cesar Duque Gomez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-428-7952
Karla Jannet Garcia, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-205-6349 Fax: 619-428-7952
Dr. Ryan William Mcintyre, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Charles R Davis, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 303-579-9268
David Lepez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-205-6316

Dr Justin Michael Bennink, MD - Medicare Family Practice in San Ysidro, CA