Dr Leslie Jacob Benny, DO - Medicare Internal Medicine in Green Bay, WI

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Dr Leslie Jacob Benny, DO is a medicare enrolled "Internal Medicine - Rheumatology" physician in Green Bay, Wisconsin. His current practice location is 3263 Eaton Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-6700.

Dr Leslie Jacob Benny is licensed to practice in Wisconsin (license number 23400-875) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780002717.

Contact Information

Dr Leslie Jacob Benny, DO
3263 Eaton Rd,
Green Bay, WI 54311-6830
(920) 433-6700
(920) 433-6719

Map and Direction




Physician's Profile

Full NameDr Leslie Jacob Benny
GenderMale
SpecialityInternal Medicine - Rheumatology
Location3263 Eaton Rd, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780002717
  • Provider Enumeration Date: 04/07/2014
  • Last Update Date: 12/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163791500
  • Enrollment ID: I20170628002755

Medical Identifiers

Medical identifiers for Dr Leslie Jacob Benny such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780002717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology O-1729 (Idaho)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RR0500XInternal Medicine - Rheumatology 23400-875 (Wisconsin)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 Leslie Jacob Benny allows following entities to bill medicare on his behalf.
Entity NameClearwater Valley Hospital & Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073551396
PECOS PAC ID: 0547173346
Enrollment ID: O20031117000264
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899
Entity NameKootenai Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230
Entity NameSt. Mary's Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841292307
PECOS PAC ID: 5092773168
Enrollment ID: O20050316000814
Entity NameClearwater Valley Hospital & Clinics
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1255449013
PECOS PAC ID: 0547173346
Enrollment ID: O20061104000428
Entity NameSt. Mary's Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1841292307
PECOS PAC ID: 5092773168
Enrollment ID: O20061104000429
Entity NameKootenai Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174661151
PECOS PAC ID: 1355792276
Enrollment ID: O20240111003252

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 Leslie Jacob Benny 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 Leslie Jacob Benny, DO
Po Box 22487,
Green Bay, WI 54305-2487

Ph: (920) 445-7210		Dr Leslie Jacob Benny, DO
3263 Eaton Rd,
Green Bay, WI 54311-6830

Ph: (920) 433-6700

Reviews and Comments


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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.