Patricia A Benoist, MD
Individual provider Active NPI Family Medicine Physician · Houston, MO
NPI 1942359005 · NPPES record last updated Nov 19, 2018
Key facts
- NPI
- 1942359005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2008016594 (MO)
- Practice address
- 1337 S Sam Houston Blvd
Houston, MO 65483-2046 - Phone
- (417) 967-5639
- Fax
- (417) 967-5667
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas County Memorial Hospital
Practice addresses (Care Compare)
1333 S Sam Houston Blvd
Houston, MO 65483-2046
1333 S Sam Houston Blvd a
Houston, MO 65483-2046
Phone (417) 967-1252
1335 S Sam Houston Blvd
Houston, MO 65483-2046
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435
Hospital & facility affiliations
- Home Health of the Ozarks
- Texas County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080920000050 | MO | Practitioner - Family Practice | 7517055973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008016594 | MO | MD | Family Medicine Physician |
| 01063028A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Texas County Memorial Hospital | Current |
Accepting new patients | |
| Texas County Memorial Hospital | Family Medicine | Past | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Texas County Memorial Hospital | Past | Accepting new patients |
Locations
1422 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252
1337 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5435
1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311
Interoperability endpoints
- pbenoist4790@directb.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01063028A | IN | |
| Pediatrics Physician | 208000000X | 2008016594 | MO | |
| Family Medicine Physician | 207Q00000X | 2008016594 | MO | Yes |
Addresses
Primary practice location
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Mailing address
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5639
Other practice location 1
1422 S Sam Houston Blvd
Houston, MO 65483-2130
Phone (417) 967-4445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00653959 | Other | RAILROAD MEDICARE | |
| 1942359005 | Medicaid | MO | |
| 26D0889777 | Other | MO | CLIA |
| 172978001 | Medicaid | AR | |
| 431560263 | Other | TRICARE WEST |
Other names
- Patricia A Eden
Other providers in Houston, MO
- Angela Holden OD LLC
- Anne C. Ream, Optometry, PC
- John Christopher Badolian
- Christopher O Baldwin
- Deborah Belt-Kell
- Vicky Birdsong
- Zachary Brooks
- Kendra Burnett
- Marvin T. Colyer
- Community Counseling Services of Missouri, L.L.C.
All providers in Houston, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 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.