Dr Mark Richard Benfield, MD - Medicare Pediatrics in Cullman, AL

Dr Mark Richard Benfield, MD is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Cullman, Alabama. His current practice location is 1948 Alabama Highway 157, Pediatric Nephrology Of Alabama, Cullman, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 558-3200.

Dr Mark Richard Benfield is licensed to practice in Alabama (license number 12284) 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 1811004245.

Contact Information

Dr Mark Richard Benfield, MD
1948 Alabama Highway 157, Pediatric Nephrology Of Alabama,
Cullman, AL 35058
(205) 558-3200
(205) 623-1090

Map and Direction




Physician's Profile

Full NameDr Mark Richard Benfield
GenderMale
SpecialityPediatrics - Pediatric Nephrology
Location1948 Alabama Highway 157, Cullman, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811004245
  • Provider Enumeration Date: 08/23/2006
  • Last Update Date: 08/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406042159
  • Enrollment ID: I20101122000136

Medical Identifiers

Medical identifiers for Dr Mark Richard Benfield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811004245NPI-NPPES
0120252MedicaidMS
122391MedicaidAL
000028811MedicaidAL
000015888MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0210XPediatrics - Pediatric Nephrology 12284 (Alabama)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 Mark Richard Benfield allows following entities to bill medicare on his behalf.
Entity NamePediatric Nephrology Of Alabama, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245546993
PECOS PAC ID: 3870789522
Enrollment ID: O20101122000071

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 Mark Richard Benfield 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 Mark Richard Benfield, MD
1948 Alabama Highway 157, Pob1 Suite 450a,
Cullman, AL 35058

Ph: (205) 558-3200
Dr Mark Richard Benfield, MD
1948 Alabama Highway 157, Pediatric Nephrology Of Alabama,
Cullman, AL 35058

Ph: (205) 558-3200

Reviews and Comments


Pediatrics Doctors in Cullman, AL

Tamara Morris Sheffield, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1965 Al Highway 157 Ste B, Cullman, AL 35058
Phone: 256-775-2722    Fax: 256-775-2648
Hope M Weeks, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2016 Main Ave Sw, Cullman, AL 35055
Phone: 256-775-0230    
Lisa Karen Joines, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Main Ave Sw, Cullman, AL 35055
Phone: 256-734-3759    Fax: 256-734-9764
Dr. James M Thomason, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 312 Arnold St Ne, Cullman, AL 35055
Phone: 256-734-0606    Fax: 256-734-5525
Claire Elizabeth Crider Cordes, MD
Pediatrics
Medicare: May Accept Medicare Assignments
Practice Location: 1890 Al Highway 157 Ste 430, Cullman, AL 35058
Phone: 256-739-1575    Fax: 256-517-9328
Heidi Blair, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1167 County Road 437 Ste B, Cullman, AL 35055
Phone: 256-735-4632    Fax: 256-735-4639
Andrew Lloyd Jones, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Al Highway 157 Ste 101, Cullman, AL 35058
Phone: 256-739-4131    Fax: 256-739-0027

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.