310 MORRIS AVE SUITE 301
ELIZABETH, NJ 07208-3695 US PECOS Enrolled
Luis M Benalcazar
Internal Medicine Physician
- ELIZABETH, NJ
- Phone: (908)-353-3626
- Last Updated 12/1/2017
Overview
Luis M Benalcazar is a Internal Medicine Physician in the ELIZABETH area and has over 24 years of experience. Luis M Benalcazar primary office location is at 310 MORRIS AVE and new patients are welcome to contact this healthcare provider for an appointment. He attended Ponce School Of Medicine and graduated 2000
Luis M Benalcazar is affiliated with two hospitals in the ELIZABETH area, including RARITAN BAY MEDICAL CENTER. The NPI number is 1801878269 and the information was updated approximately 7 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 2325031 | NY |
| 25MA07504600 | NJ |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 0028410 | NJ |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | NJ | Y |
| Internal Medicine Physician - Taxonomy Code 207R00000X | NY | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20040129000881 |
| PECOS Individual PAC ID: | 6002719762 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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