Jeffrey Alan Benson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD14571 Issued in ME

Practice address

331 Veranda St
Portland, ME 04103-5545

Phone

(207) 828-2402

Fax

(207) 828-2425

NPI assigned

Apr 4, 2007

Last updated

Nov 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Harvard Medical School, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portland Community Health CenterGroup PAC ID 5395998017, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beacon Hospice, an Amedisys Company Hospice, So Portland, ME, CCN 201516

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.benson.p1@direct.portlandchc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Portland Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Portland, ME
  • NPI 1609120856
  Medicare reassignment Care Compare group NPD
• Jeffrey a Benson

  dba Freeport Family Health Care

  • Family Medicine Physician
  • Freeport, ME
  • NPI 1891958039
  NPD (past) Authorized official
• Portland Community Health Center

  dba Sagamore Village

  • Federally Qualified Health Center (FQHC)
  • Portland, ME
  • NPI 1871169193
  NPD
• Portland Community Health Center

  dba Greater Portland Health

  • Federally Qualified Health Center (FQHC)
  • Portland, ME
  • NPI 1982338240
  NPD
• Portland Community Health Center

  dba Riverton Health Center

  • Federally Qualified Health Center (FQHC)
  • Portland, ME
  • NPI 1447694344
  NPD (past)
• VK Bath, LLC

  dba Winship Green Center For Health & Rehabilitation LLC

  • Skilled Nursing Facility
  • Bath, ME
  • NPI 1295075604
  NPD (past)
• VK Yarmouth, LLC

  dba Brentwood Center for Health & Rehabilitation LLC

  • Skilled Nursing Facility
  • Yarmouth, ME
  • NPI 1942540364
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beacon Hospice, LLC

  dba Beacon Hospice, an Amedisys Company

  • Community Based Hospice Care Agency
  • South Portland, ME
  • NPI 1437236551
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1992827851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9746",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045040",
            "telephone_number": "207-791-3888",
            "fax_number": "207-828-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 VERANDA ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035545",
            "telephone_number": "207-828-2402",
            "fax_number": "207-828-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD14571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy W Bennett, LCPC
• David Arthur Benoit Sr., CADC
• Lynne A Benoit
• Suzanne V Benoit, LCSW
• Christopher Michael Benson, MD
• William Thaddeus Benson, DMD
• Adrienne Johanson Bentsen, M.A.
• Abigail Marie Benzek, DPT
• Catherine Berce, LMSW-CC
• Emily Anne Smith Bergbower, MD, PHD

• Family Medicine Physician in Portland, ME
• Providers in Portland, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.

Verify at the official NPI Registry.