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PHILECIA BENMAN
NPI 1992241103
Nurse Practitioner - Family in Detroit, MI

Active since January 11, 2017PECOS EnrolledAccepts Medicare Assignment
7800 W OUTER DR, DETROIT, MI 48235(313) 543-6200(313) 543-6233 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2024, Jan 11, 2017 (2 updates tracked since 2017).

About Philecia Benman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILECIA BENMAN (NPI 1992241103) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704291062) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1992241103
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHILECIA BENMAN
Location Address7800 W OUTER DRDetroit, MI 48235-3461
Mailing Address7800 W Outer DrDetroit, MI 48235-3461 · (313) 543-6200 · Fax (313) 543-6233
Phone(313) 543-6200
Fax(313) 543-6233
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 11, 2017
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1992241103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704291062
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704291062 (MI)
7800 W OUTER DR, Detroit, MI 48235
Open in Google Maps ↗

Secondary Practice Location 1

Location 14100 John R StDetroit, MI 48201-2013 · Phone (800) 527-6266 · Fax (313) 576-8381

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philecia Benman 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.

PECOS PAC ID5991081127
PECOS Enrollment IDI20170424001298
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Philecia Benman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Providence Hospital
3.0 mi
Psychiatry
16001 W 9 MILE RD, PHYSICIAN BILLING SERVICES
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health Providence Hospital
  • 393 clinicians in this Medicare group
NPI 1619932670 (248) 849-3000
Hamid Sattar MD PC
3.8 mi
Cardiovascular Disease
25130 SOUTHFIELD RD STE 120
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 15 clinicians in this Medicare group
NPI 1194020610 (248) 234-6790
Vpa PC
5.1 mi
Family Medicine
21540 W 11 MILE RD STE 200
Southfield, MI 48076
  • Reassigned Medicare billing, Michigan enrollment
  • 279 clinicians in this Medicare group
NPI 1245859446 (248) 352-2000
University Physician Group
8.9 mi
Occupational Therapist
18100 OAKWOOD BLVD, SUITE 300
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
NPI 1851630206 (313) 429-7977
Alpha Urgent Care PLLC
16 mi
Health Service
75 BARCLAY CIR STE 220
Rochester Hills, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1326630716 (248) 651-6430

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DWIGHT E SMITH, MD, PC
Internal Medicine
7800 W OUTER DR, SUITE 230
DETROIT, MI 48235
Wayne County (313) 535-0900
MR. PAUL SCHERRER P.T.
Contractor
7800 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 387-1900
DARRYL CHRISTIAN DUGANS II DTLLP
Psychologist (Clinical)
7800 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 766-6285
DR. DANIEL SETH PASSERMAN D.O.
Family Medicine
7800 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 543-6200
SUDESHNA DANU RPT, DPT
Physical Therapist
7800 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 543-6295
MATTHEW MURRAY
Case Manager/Care Coordinator
7800 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 977-3630
NORTHWEST DETROIT DIALYSIS CENTER, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
7800 W OUTER DR, SUITE 190
DETROIT, MI 48235
Wayne County (313) 270-9239
HENRY FORD HEALTH SYSTEM
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
7800 W OUTER DR, STE.240
DETROIT, MI 48235
Wayne County (313) 653-2020

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 Philecia Benman's NPI number?

The NPI number for Philecia Benman is 1992241103. It was assigned to this individual provider in the NPPES registry on January 11, 2017.

Where is Philecia Benman located?

Philecia Benman practices at 7800 W Outer Dr, Detroit, MI 48235. The listed phone number is (313) 543-6200.

What is Philecia Benman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Philecia Benman enrolled in Medicare?

Yes. Philecia Benman 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.

Which organizations bill Medicare for Philecia Benman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philecia Benman reassigns Medicare benefits to 5 organizations: Ascension Providence Hospital (Southfield, MI), Hamid Sattar MD PC (Southfield, MI), Vpa PC (Southfield, MI), University Physician Group (Dearborn, MI) and Alpha Urgent Care PLLC (Rochester Hills, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philecia Benman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philecia Benman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Philecia Benman 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 Philecia Benman affiliated with any hospitals?

According to CMS data, Philecia Benman is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Philecia Benman was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.