Nicole Lee Bentley, MD is a medicare enrolled "Pediatrics" physician in Cedar Falls, Iowa. Her current practice location is
5100 Prairie Pkwy Ste 203, Cedar Falls, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 222-2903.
Nicole Lee Bentley is licensed to practice in Iowa (license number MD-46258) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629423967.
Physician's Profile
Full Name | Nicole Lee Bentley |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 5100 Prairie Pkwy Ste 203, Cedar Falls, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629423967
- Provider Enumeration Date: 04/24/2016
- Last Update Date: 06/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204129356
- Enrollment ID: I20191001002251
Medical Identifiers
Medical identifiers for Nicole Lee Bentley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629423967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 68391-20 (Wisconsin) | Secondary |
208000000X | Pediatrics | MD-46258 (Iowa) | 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. Nicole Lee Bentley allows following entities to bill medicare on her behalf.
Entity Name | Iowa Physicians Clinic Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
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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. Nicole Lee Bentley 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 |
Nicole Lee Bentley, MD 5100 Prairie Pkwy Ste 203, Cedar Falls, IA 50613-8155 Ph: (319) 222-2903 | Nicole Lee Bentley, MD 5100 Prairie Pkwy Ste 203, Cedar Falls, IA 50613 Ph: (319) 222-2903 |
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