Jessie Angeline Benham, PHD is a medicare enrolled "Psychologist - Clinical" provider in Barling, Arkansas. Her current practice location is
1311 Fort Street, Ste. J, Barling, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 452-5040.
Jessie Angeline Benham is licensed to practice in Arkansas (license number 92-10P) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184878159.
Healthcare Provider's Profile
Full Name | Jessie Angeline Benham |
---|
Gender | Female |
---|
Speciality | Psychologist - Clinical |
---|
Location | 1311 Fort Street, Barling, Arkansas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184878159
- Provider Enumeration Date: 11/04/2008
- Last Update Date: 11/04/2008
Medicare PECOS Information:
- PECOS PAC ID: 3577544956
- Enrollment ID: I20040601000601
Medical Identifiers
Medical identifiers for Jessie Angeline Benham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184878159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 92-10P (Arkansas) | 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. Jessie Angeline Benham allows following entities to bill medicare on her behalf.
Entity Name | Deer Oaks Arkansas, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1235393380 PECOS PAC ID: 9638232622 Enrollment ID: O20090119000034 |
---|
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. Jessie Angeline Benham 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 |
Jessie Angeline Benham, PHD Po Box 23047, Barling, AR 72923-0047 Ph: (479) 452-5040 | Jessie Angeline Benham, PHD 1311 Fort Street, Ste. J, Barling, AR 72923 Ph: (479) 452-5040 |
Reviews and Comments