BEN PROM
NPI 1629733415
Physician Assistant in Juneau, AK
About Ben Prom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEN PROM (NPI 1629733415) is an individual physician assistant in Juneau, Alaska and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Divine Savior Healthcare, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Ben Prom 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Divine Savior Healthcare
Acute Care Hospitals · Portage, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JUNEAU, AK 99801
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 Ben Prom's NPI number?
The NPI number for Ben Prom is 1629733415. It was assigned to this individual provider in the NPPES registry on November 5, 2021.
Where is Ben Prom located?
Ben Prom practices at 8505 Old Dairy Rd, Juneau, AK 99801. The listed phone number is (907) 790-4111.
What is Ben Prom's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ben Prom enrolled in Medicare?
Yes. Ben Prom 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 Ben Prom accept?
Health plans from Anthem Blue Cross and Blue Shield and Aspirus Health Plan list Ben Prom 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 Ben Prom affiliated with any hospitals?
According to CMS data, Ben Prom is affiliated with Divine Savior Healthcare.
When was this NPI record last updated?
The NPPES record for Ben Prom was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ben Prom · NPI 1629733415
Physician Assistant physician in Juneau, Alaska. Individual provider, active in the CMS NPPES registry since November 5, 2021.
## Identity
- **NPI:** 1629733415 (Entity type: Individual)
- **Enumerated:** November 5, 2021
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 8505 OLD DAIRY RD, Juneau, AK 99801-6921
- **Phone:** (907) 790-4111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629733415) · Data from the CMS NPPES public registry.