Benjamin Berthold, in Tucson, AZ - Medicare Nurse Practitioner

Benjamin Berthold, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tucson, Arizona. His current practice location is 5301 E Grant Rd, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 324-4600.

Benjamin Berthold is licensed to practice in Arizona (license number 286456) 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 1235741679.

Contact Information

	Benjamin Berthold,
	5301 E Grant Rd, Tucson, AZ 85712-2805
	(520) 324-4600
	Not Available

Map and Direction

Provider's Profile

Full Name	Benjamin Berthold
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5301 E Grant Rd, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235741679
Provider Enumeration Date: 08/18/2020
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 4789056797
Enrollment ID: I20230220001841

Medical Identifiers

Medical identifiers for Benjamin Berthold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235741679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	286456 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin Berthold allows following entities to bill medicare on his behalf.

Entity Name	Tmc Medical Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996

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. Benjamin Berthold 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
Benjamin Berthold, 1120 N 5th Ave # Az85705, Tucson, AZ 85705-7408 Ph: () -	Benjamin Berthold, 5301 E Grant Rd, Tucson, AZ 85712-2805 Ph: (520) 324-4600

Reviews and Comments

Nurse Practitioner Nurses in Tucson, AZ

Patricia Hiebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3870 W River Rd Ste 126, Tucson, AZ 85741 Phone: 520-219-6616 Fax: 520-742-6187
Emily Snavely De La Rosa, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 N Alvernon Way, Ste. 101, Tucson, AZ 85711 Phone: 520-694-1640
Mrs. Hazel Echavez Mercado, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10975 E White Sage Dr, Tucson, AZ 85747 Phone: 520-203-7531 Fax: 520-437-0390
Mr. Daniel Leon Ross Jr., NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 W Orange Grove Rd Unit A16, Tucson, AZ 85704 Phone: 520-909-3844 Fax: 520-308-5511
Mrs. Diana Verdugo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 N Craycroft Rd, Tucson, AZ 85711 Phone: 520-519-8550 Fax: 520-747-3269
Neva Corbell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1951 N Wilmot Rd, Bldg 4, Tucson, AZ 85712 Phone: 520-318-1114 Fax: 520-318-4693
Holly Marie Hill, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 E District St, Tucson, AZ 85714 Phone: 520-584-5820 Fax: 520-514-1514

Benjamin Berthold, - Medicare Nurse Practitioner in Tucson, AZ