Benjamin Blake Simpson, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Gainesville, Florida. His current practice location is
1600 Sw Archer Rd, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 273-6438.
Benjamin Blake Simpson is licensed to practice in * (Not Available) (license number ) 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 1073269940.
Provider's Profile
| Full Name | Benjamin Blake Simpson |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1600 Sw Archer Rd, Gainesville, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073269940
- Provider Enumeration Date: 03/01/2022
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547704959
- Enrollment ID: I20240626003155
Medical Identifiers
Medical identifiers for Benjamin Blake Simpson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073269940 | NPI | - | NPPES |
| 122777500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11033227 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Blake Simpson allows following entities to bill medicare on his behalf.
| Entity Name | Florida Clinical Practice Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099 |
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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. Benjamin Blake Simpson 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 Blake Simpson,
6337 Sw 47th Ter,
Gainesville, FL 32608-0158
Ph: (321) 698-6703 | Benjamin Blake Simpson,
1600 Sw Archer Rd,
Gainesville, FL 32610-0158
Ph: (352) 273-6438 |
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