Oliver James Benes, MD - Medicare Family Practice in Covington, KY

Oliver James Benes, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Covington, Kentucky. He went to University Of Cincinnati College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Summit Medical Group, Inc and his current practice location is 20 W 18th St, Covington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 757-0717.

Oliver James Benes is licensed to practice in Kentucky (license number 42910) 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 1972742963.

Contact Information

Oliver James Benes, MD
20 W 18th St,
Covington, KY 41011-3329
(859) 757-0717
(859) 331-2425

Map and Direction




Physician's Profile

Full NameOliver James Benes
GenderMale
SpecialityFamily Practice
Experience17 Years
Location20 W 18th St, Covington, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Oliver James Benes attended and graduated from University Of Cincinnati College Of Medicine in 2007
  NPI Data:
  • NPI Number: 1972742963
  • Provider Enumeration Date: 02/13/2009
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638352354
  • Enrollment ID: I20110317000610

Medical Identifiers

Medical identifiers for Oliver James Benes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972742963NPI-NPPES
7100153650MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 42910 (Kentucky)Secondary
2083A0300XPreventive Medicine - Addiction Medicine 42910 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth EdgewoodEdgewood, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240712

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. Oliver James Benes allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738

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. Oliver James Benes 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
Oliver James Benes, MD
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 371-1153
Oliver James Benes, MD
20 W 18th St,
Covington, KY 41011-3329

Ph: (859) 757-0717

Reviews and Comments


Preventive Medicine Doctors in Covington, KY

Christina Shuman Wise, M.D.
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20 West 18th Street, Covington, KY 41011
Phone: 859-757-0717    Fax: 859-331-2425

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.