Mrs Umu Benjamin, ARNP-PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Haymarket, Virginia. Her current practice location is
14658 Gap Way, Haymarket, Va 20169, #730, Haymarket, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 662-5383.
Mrs Umu Benjamin is licensed to practice in Maryland (license number AC002426) 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 1073003398.
Healthcare Provider's Profile
Full Name | Mrs Umu Benjamin |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 14658 Gap Way, Haymarket, Va 20169, Haymarket, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073003398
- Provider Enumeration Date: 05/11/2018
- Last Update Date: 03/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163772849
- Enrollment ID: I20180829003313
Medical Identifiers
Medical identifiers for Mrs Umu Benjamin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073003398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024176104 (Virginia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AC002426 (Maryland) | 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. Mrs Umu Benjamin allows following entities to bill medicare on her behalf.
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
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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. Mrs Umu Benjamin 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 |
Mrs Umu Benjamin, ARNP-PMHNP-BC Po Box 730, Haymarket, VA 20168-0730 Ph: (703) 662-5383 | Mrs Umu Benjamin, ARNP-PMHNP-BC 14658 Gap Way, Haymarket, Va 20169, #730, Haymarket, VA 20168-0730 Ph: (703) 662-5383 |
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