Active NPI
John Benjamin Benacci, MD
- Family Medicine Physician
- Lockney, TX
National Provider Identifier
1902473754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- U5928
- Practice address
- PO Box 37
Lockney, TX 79241-0037 - Phone
- (806) 652-3373
- Fax
- (806) 652-2172
- NPI assigned
- Jun 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | U5928 | TX | Primary |
Addresses
Primary practice location
PO Box 37
Lockney, TX 79241-0037
Mailing address
701 W 5TH St Ste 1229
Odessa, TX 79763-4206
Phone (432) 703-5238
Other names 1
- Dr. John Benjamin Benacci
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240909004040 | TX | Practitioner - Family Practice | 7416351689 |
Reassigns benefits to 1 organization Practice locations: Lockney, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lockney General Hospital District
Practice addresses (Care Compare)
PO Box
Suite 37
Lockney, TX 79241
Hospital & facility affiliations
- W J Mangold Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lockney General Hospital District | Current | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lockney, TX
- NPI 1154930071
-
- Rural Health Clinic/Center
- Lockney, TX
- NPI 1437178357
-
- Medicare Defined Swing Bed Hospital Unit
- Lockney, TX
- NPI 1457374688
-
- Rural Health Clinic/Center
- Silverton, TX
- NPI 1518032879
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1902473754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W 5TH ST STE 1229",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-703-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "LOCKNEY",
"state": "TX",
"postal_code": "792410037",
"telephone_number": "806-652-3373",
"fax_number": "806-652-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENACCI",
"first_name": "JOHN",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-09",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U5928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "BENACCI",
"middle_name": "BENJAMIN",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lockney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.