Benet Fanfan, in Lake Worth, FL - Medicare Nurse Practitioner

Benet Fanfan, is a medicare enrolled "Nurse Practitioner - Primary Care" in Lake Worth, Florida. His current practice location is 5941 Strawberry Lakes Cir, Lake Worth, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 568-5728.

Benet Fanfan is licensed to practice in Florida (license number 11007924) 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 1912524091.

Contact Information

	Benet Fanfan,
	5941 Strawberry Lakes Cir, Lake Worth, FL 33463-6507
	(561) 568-5728
	Not Available

Map and Direction

Provider's Profile

Full Name	Benet Fanfan
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	5941 Strawberry Lakes Cir, Lake Worth, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912524091
Provider Enumeration Date: 07/06/2020
Last Update Date: 07/06/2020

Medicare PECOS Information:

PECOS PAC ID: 4183031768
Enrollment ID: I20210326000633

Medical Identifiers

Medical identifiers for Benet Fanfan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912524091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	11007924 (Florida)	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. Benet Fanfan allows following entities to bill medicare on his behalf.

Entity Name	Medical Home Alliance, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740527811 PECOS PAC ID: 6406096536 Enrollment ID: O20130712000249

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247

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. Benet Fanfan 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
Benet Fanfan, 5941 Strawberry Lakes Cir, Lake Worth, FL 33463-6507 Ph: (561) 568-5728	Benet Fanfan, 5941 Strawberry Lakes Cir, Lake Worth, FL 33463-6507 Ph: (561) 568-5728

Reviews and Comments

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Benet Fanfan, - Medicare Nurse Practitioner in Lake Worth, FL