Benson Outpatient Treatment Center - Medicare Mental Health Clinic in Benson, AZ

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Benson Outpatient Treatment Center is a medicare enrolled mental health clinic (Community/behavioral Health) in Benson, Arizona. The current practice location for Benson Outpatient Treatment Center is 611 W Union St, Benson, Arizona. For appointments, you can reach them via phone at (520) 586-6177. The mailing address for Benson Outpatient Treatment Center is 611 W Union St, Benson, Arizona and phone number is () -.

Benson Outpatient Treatment Center is licensed to practice in Arizona (license number BH4804). The clinic also participates in the medicare program and its NPI number is 1760830137. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (520) 586-6177.

Contact Information

Benson Outpatient Treatment Center
611 W Union St
Benson
AZ 85602-6718
(520) 586-6177
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameBenson Outpatient Treatment Center
SpecialityCommunity/Behavioral Health
Location611 W Union St, Benson, Arizona
Authorized Official Name and PositionEstella Hernandez (CONTRACTS & CREDENTIALING ADMIN)
Authorized Official Contact5208385513
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Benson Outpatient Treatment Center
611 W Union St
Benson
AZ 85602-6718

Ph: () -		Benson Outpatient Treatment Center
611 W Union St
Benson
AZ 85602-6718

Ph: (520) 586-6177

NPI Details:

NPI Number1760830137
Provider Enumeration Date05/26/2016
Last Update Date06/08/2022
Certification Date06/08/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2860488368
Medicare Enrollment IDO20040421000934

Medical Identifiers

Medical identifiers for Benson Outpatient Treatment Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760830137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health BH4804 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Benson Outpatient Treatment Center acts as a billing entity for following providers:
Provider NameJudith M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962458182
PECOS PAC ID: 6406769207
Enrollment ID: I20031107000474
Provider NameJohn K Ekman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194722256
PECOS PAC ID: 4183695281
Enrollment ID: I20040803000744
Provider NameVinod B Patel
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1821054503
PECOS PAC ID: 9234103235
Enrollment ID: I20040825000249
Provider NameGeorgina L Fiscus
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780621862
PECOS PAC ID: 3173599537
Enrollment ID: I20040907001146
Provider NameVeeraiah C Karumanchi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467456707
PECOS PAC ID: 8729032693
Enrollment ID: I20050303000926
Provider NameDmitry V Listengarten
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1669433173
PECOS PAC ID: 4486680931
Enrollment ID: I20050715000218
Provider NameMohamed I Ramadan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1225025984
PECOS PAC ID: 4183657034
Enrollment ID: I20050913000165
Provider NameJane Ackerley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588868921
PECOS PAC ID: 4880761055
Enrollment ID: I20080930000596
Provider NameChad Rubin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548256142
PECOS PAC ID: 5597822288
Enrollment ID: I20090325000128
Provider NameConstance L Slay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396919346
PECOS PAC ID: 5294882940
Enrollment ID: I20090415000203
Provider NameMary K Fuller-fougerousse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336479906
PECOS PAC ID: 9830232487
Enrollment ID: I20100204000088
Provider NameMary J Maymana
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457558868
PECOS PAC ID: 3577759885
Enrollment ID: I20101129001059
Provider NameEric A Hegybeli
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487879342
PECOS PAC ID: 2668658527
Enrollment ID: I20110511000269
Provider NameSteven M Diez De Pinos
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1063502201
PECOS PAC ID: 2264699925
Enrollment ID: I20120208000066
Provider NameLinda M Banziger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467695726
PECOS PAC ID: 6800925371
Enrollment ID: I20120302000660
Provider NameWilliam Adamas-rappaport
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134213762
PECOS PAC ID: 3577722313
Enrollment ID: I20120314000140
Provider NameDaniel D Hammond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518116839
PECOS PAC ID: 2961541495
Enrollment ID: I20140820000525
Provider NameDorothy Deette Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497883169
PECOS PAC ID: 4587757042
Enrollment ID: I20140903001953
Provider NameMaryam H Lateef
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477533610
PECOS PAC ID: 3577475888
Enrollment ID: I20141023000369
Provider NameNirva Jean-baptiste
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407279771
PECOS PAC ID: 3577887553
Enrollment ID: I20150122000480
Provider NameSharon A Stokes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144376070
PECOS PAC ID: 5991014581
Enrollment ID: I20151021003327
Provider NameCatherine M Etori
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255722633
PECOS PAC ID: 6103145974
Enrollment ID: I20151106000597
Provider NameKaren Shelton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164836565
PECOS PAC ID: 3375843360
Enrollment ID: I20151123002666
Provider NameRodric D Falcon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063785350
PECOS PAC ID: 9234367400
Enrollment ID: I20160323001111
Provider NameSarah Manco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396907598
PECOS PAC ID: 3678736238
Enrollment ID: I20160429000909
Provider NameBrett Lee Wadsworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649727249
PECOS PAC ID: 6709168743
Enrollment ID: I20170126001961
Provider NameKelleen Stiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437468840
PECOS PAC ID: 9638453160
Enrollment ID: I20170301002060
Provider NameMichael D Worley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548704125
PECOS PAC ID: 4880962687
Enrollment ID: I20170620002766
Provider NameSonia J Shoup
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861672081
PECOS PAC ID: 8527286210
Enrollment ID: I20171003007562
Provider NameErkan Caygoz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356868160
PECOS PAC ID: 0547528218
Enrollment ID: I20171229002261
Provider NameJillian Eve Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134614324
PECOS PAC ID: 8820347685
Enrollment ID: I20180828001372
Provider NameTolulope A Dada
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124418728
PECOS PAC ID: 0143548586
Enrollment ID: I20181015000551
Provider NameTera K Waldroup
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710250055
PECOS PAC ID: 7719204320
Enrollment ID: I20181016001341
Provider NameMarie A Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619219375
PECOS PAC ID: 2668613811
Enrollment ID: I20181105002586
Provider NameJennifer Neiss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518588763
PECOS PAC ID: 5991126609
Enrollment ID: I20200605000292
Provider NameAnton Dragonetti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972091221
PECOS PAC ID: 8224393640
Enrollment ID: I20210909003132
Provider NameTraci Burks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528171899
PECOS PAC ID: 7012310063
Enrollment ID: I20220120002473
Provider NameDaniel J Arteago
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235563909
PECOS PAC ID: 3274929260
Enrollment ID: I20220330002087
Provider NamePatricia Hoffman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1114994050
PECOS PAC ID: 9335583624
Enrollment ID: I20240214002478
Provider NameSandra B Kalnins
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1710954573
PECOS PAC ID: 3577564996
Enrollment ID: I20240418002188
Provider NameEmmanuel E Mbi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528703261
PECOS PAC ID: 9436529831
Enrollment ID: I20240605002998

Reviews and Comments

Community/Behavioral Health in Benson, AZ

Nazcare, Inc. - B.e.s.t. Wellness Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 176 S Central Ave, Benson, AZ 85602
Phone: 928-442-9205    Fax: 602-535-3230
Caring Connections For Special Needs, Llc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 870 W 4th St, Benson, AZ 85602
Phone: 520-686-9436    
Southeastern Arizona Behavioral Health Services, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 611 W Union St, Benson, AZ 85602
Phone: 520-586-0800    Fax: 520-586-0116
Caring Connections For Special Needs, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 505 E 5th St, Benson, AZ 85602
Phone: 520-586-2070    Fax: 480-287-8448
Lazy Horse Ranch
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 714 N Madison Ave, Benson, AZ 85602
Phone: 520-826-2206    
Freedom Counseling Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 880 W 4th Street, Benson, AZ 85602
Phone: 520-720-6488    Fax: 520-720-6486

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.