Richard Anthony Benavidez, PA in Colton, CA - Medicare Physician Assistant

Richard Anthony Benavidez, PA is a medicare enrolled "Physician Assistant" in Colton, California. His current practice location is 400 N Pepper Ave, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 580-1000.

Richard Anthony Benavidez is licensed to practice in California (license number PA54879) 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 1013445691.

Contact Information

	Richard Anthony Benavidez, PA
	400 N Pepper Ave, Colton, CA 92324-1801
	(909) 580-1000
	Not Available

Provider's Profile

Full Name	Richard Anthony Benavidez
Gender	Male
Speciality	Physician Assistant
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013445691
Provider Enumeration Date: 05/26/2017
Last Update Date: 09/09/2023

Medicare PECOS Information:

PECOS PAC ID: 1850651985
Enrollment ID: I20180208002854

Medical Identifiers

Medical identifiers for Richard Anthony Benavidez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013445691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA54879 (California)	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. Richard Anthony Benavidez 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
Richard Anthony Benavidez, PA 1 Country Wood Dr, Pomona, CA 91766-4819 Ph: (816) 835-1048	Richard Anthony Benavidez, PA 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000

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Physician Assistant Nurses in Colton, CA

Lawrence David Gates, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400
Mrs. Amy Elizabeth Dahlberg, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-354-2195
Edward V. Schelert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 North Pepper Ave, Arrowhead Regional Medical Center, Colton, CA 92324 Phone: 909-580-1000 Fax: 909-580-3333
Brian Kent Heaton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3390
Emma Werner Oliver, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Azizi Rahman Bailey, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, 6th Floor South (dept Of Orthopedic Surgery), Colton, CA 92324 Phone: 909-580-6353

Richard Anthony Benavidez, PA - Medicare Physician Assistant in Colton, CA