Dr Jason Jose Bendezu, LP - Medicare Psychologist in Minneapolis, MN

Dr Jason Jose Bendezu, LP is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Minneapolis, Minnesota. His current practice location is 2404 2nd St Ne, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (786) 390-8400.

Dr Jason Jose Bendezu 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 1992430698.

Contact Information

Dr Jason Jose Bendezu, LP
2404 2nd St Ne,
Minneapolis, MN 55418-3410
(786) 390-8400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jason Jose Bendezu
GenderMale
SpecialityPsychologist - Clinical Child & Adolescent
Location2404 2nd St Ne, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992430698
  • Provider Enumeration Date: 07/18/2022
  • Last Update Date: 07/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446633036
  • Enrollment ID: I20220815001511

Medical Identifiers

Medical identifiers for Dr Jason Jose Bendezu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992430698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent (* (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. Dr Jason Jose Bendezu allows following entities to bill medicare on his behalf.
Entity NameLyn-lake Psychotherapy And Wellness Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609355163
PECOS PAC ID: 9638581291
Enrollment ID: O20201224000071

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. Dr Jason Jose Bendezu 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 AddressPractice Location Address
Dr Jason Jose Bendezu, LP
2404 2nd St Ne,
Minneapolis, MN 55418-3410

Ph: (786) 390-8400
Dr Jason Jose Bendezu, LP
2404 2nd St Ne,
Minneapolis, MN 55418-3410

Ph: (786) 390-8400

Reviews and Comments


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