Jacob Benford, MD | |
225 North Jackson Avenue, San Jose, CA 95116 | |
(408) 923-7121 | |
Not Available |
Full Name | Jacob Benford |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 28 Years |
Location | 225 North Jackson Avenue, San Jose, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063467595 | NPI | - | NPPES |
00A604750 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD195812 (Oregon) | Secondary |
207P00000X | Emergency Medicine | A60475 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Roseburg, OR | Hospital |
Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
Providence Medford Medical Center | Medford, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America Llc | 6608056171 | 569 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
Entity Name | Asante Three Rivers Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801891809 PECOS PAC ID: 9931197993 Enrollment ID: O20040506000367 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
Mailing Address | Practice Location Address |
---|---|
Jacob Benford, MD 2100 Powell Street, Suite 900, Emeryville, CA 94608-1804 Ph: (510) 350-2664 | Jacob Benford, MD 225 North Jackson Avenue, San Jose, CA 95116 Ph: (408) 923-7121 |
Anna Nguyen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2105 Forest Ave, San Jose, CA 95128 Phone: 408-947-2500 | |
Shalin Hira Patel, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 225 N Jackson Ave, San Jose, CA 95116 Phone: 408-923-7121 | |
Tony Hue-dan Yuan, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 North Jackson Avenue, San Jose, CA 94608 Phone: 510-350-2777 | |
Rhys Vincent Dapar, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2425 Samaritan Drive, San Jose, CA 95124 Phone: 408-559-2011 | |
Xiao Wang, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-362-4740 | |
Thomas Gildea, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2105 Forest Ave, San Jose, CA 95128 Phone: 408-947-2500 |