Wayne David Leroy Bentham, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Vadnais Heights, Minnesota. He went to Howard University College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Danielle Golden, Crna, Pa and his current practice location is
3640 Talmage Cir Ste 216, Vadnais Heights, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 431-5330.
Wayne David Leroy Bentham is licensed to practice in Minnesota (license number 68407) 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 1609952407.
Physician's Profile
| Full Name | Wayne David Leroy Bentham |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 27 Years |
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| Location | 3640 Talmage Cir Ste 216, Vadnais Heights, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Wayne David Leroy Bentham attended and graduated from Howard University College Of Medicine in 1997
NPI Data:
- NPI Number: 1609952407
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 02/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749189777
- Enrollment ID: I20220312000320
Medical Identifiers
Medical identifiers for Wayne David Leroy Bentham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609952407 | NPI | - | NPPES |
| 0186104 | Other | WA | L&I |
| 1609952407 | Medicaid | WA | |
| 214692001 | Medicaid | AR | |
| 1609952407 | Medicaid | MO | |
| 276890 | Other | | INTERNAL ID-MOTOR VEHICLE ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 62533-20 (Wisconsin) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 62533-20 (Wisconsin) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 68407 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Danielle Golden, Crna, Pa | 6305934597 | 11 |
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. Wayne David Leroy Bentham allows following entities to bill medicare on his behalf.
| Entity Name | Danielle Golden, Crna, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598954687
PECOS PAC ID: 6305934597
Enrollment ID: O20071126000164 |
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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. Wayne David Leroy Bentham 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 |
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Wayne David Leroy Bentham, MD
3640 Talmage Cir Ste 216,
Vadnais Heights, MN 55110-7100
Ph: (952) 431-5330 | Wayne David Leroy Bentham, MD
3640 Talmage Cir Ste 216,
Vadnais Heights, MN 55110-7100
Ph: (952) 431-5330 |
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