Benjamin Becker, P.A.
Individual provider Active NPI Medical Physician Assistant · Clarion, IA
NPI 1124413307 · NPPES record last updated Sep 14, 2018
Key facts
- NPI
- 1124413307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 084779 (IA)
- Practice address
- 1316 S Main St
Clarion, IA 50525-2019 - Phone
- (515) 532-2811
- Fax
- (515) 532-9336
- NPI assigned
- Apr 3, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Specialty Hospital- Clarion
Practice addresses (Care Compare)
1000 15TH St N
Humboldt, IA 50548-1008
Phone (515) 955-6767
1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811
2700 1St Ave S
Fort Dodge, IA 50501-4300
Phone (515) 955-6767
Hospital & facility affiliations
- Iowa Specialty Hospital - Clarion
- Humboldt County Memorial Hospital
- Iowa Specialty Hospital - Belmond
- Trinity Regional Medical Center
- Pocahontas Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170410000973 | IA | Practitioner - Physician Assistant | 5597086330 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084779 | IA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belmond Community Hospital | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current |
Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Humboldt County Memorial Hospital | Current |
Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Past | Accepting new patients |
Locations
403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223
1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811
215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836
2700 1st Ave S
Ste 100
Fort Dodge, IA 50501
Phone (515) 955-6767
1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200
Interoperability endpoints
- bbecker107868@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2015008634 | MO | |
| Surgical Physician Assistant | 363AS0400X | 2015008634 | MO | |
| Surgical Physician Assistant | 363AS0400X | 084779 | IA | |
| Medical Physician Assistant | 363AM0700X | 084779 | IA | Yes |
Addresses
Primary practice location
1316 S Main St
Clarion, IA 50525-2019
Mailing address
1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811
Other providers in Clarion, IA
- Mark Henry Andrew
- Adam R Andrews
- Jeana Arbegast
- Teresa Jo Armstrong
- Kaitlen Baker
- Trisity Faith Behrens
- Jacob Boll
- Richard Paul Bose Jr.
- Jessica Bowman
- Beth Brady
All providers in Clarion, IA · Medical Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.