Joseph Mica Benavides, is a
Licensed Practical Nurse based in Oak Hills, California. Joseph Mica Benavides is licensed to practice in Alaska (license number 116671) and his current practice location is
6425 Columbine Rd., Oak Hills, California. He can be reached at his office (for appointments etc.) via phone at
(760) 686-7837.
NPI number for Joseph Mica Benavides is 1821587684 and his current mailing address is 6425 Columbine Rd, Oak Hills, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821587684.
Provider's Profile
| Full Name | Joseph Mica Benavides |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 6425 Columbine Rd., Oak Hills, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821587684
- Provider Enumeration Date: 05/08/2018
- Last Update Date: 05/08/2018
Medical Identifiers
Medical identifiers for Joseph Mica Benavides such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821587684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 116671 (Alaska) | Primary |
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. Joseph Mica Benavides is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Joseph Mica Benavides,
6425 Columbine Rd,
Oak Hills, CA 92344-0753
Ph: () - | Joseph Mica Benavides,
6425 Columbine Rd.,
Oak Hills, CA 92344
Ph: (760) 686-7837 |
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