DR. BENALFEW TESFAYE LEGESSE MD
NPI 1376767988
Psychiatry & Neurology - Psychiatry in Jacksonville, FL
About Dr. Benalfew Tesfaye Legesse Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENALFEW TESFAYE LEGESSE MD (NPI 1376767988) is an individual psychiatry provider in Jacksonville, Florida, licensed in Florida (ME157729) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Memorial Hospital, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 2
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benalfew Tesfaye Legesse Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Memorial Hospital
Acute Care Hospitals · Jacksonville, FLHca Florida Orange Park Hospital
Acute Care Hospitals · Orange Park, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benalfew Legesse's NPI number?
The NPI number for Benalfew Legesse is 1376767988. It was assigned to this individual provider in the NPPES registry on April 13, 2007.
Where is Benalfew Legesse located?
Benalfew Legesse practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (190) 470-2635.
What is Benalfew Legesse's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Benalfew Legesse enrolled in Medicare?
Yes. Benalfew Legesse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Benalfew Legesse accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Benalfew Legesse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Benalfew Legesse affiliated with any hospitals?
According to CMS data, Benalfew Legesse is affiliated with Hca Florida Memorial Hospital and Hca Florida Orange Park Hospital.
When was this NPI record last updated?
The NPPES record for Benalfew Legesse was last updated on September 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
