MEDICARE: JEFFREY L BEBENSEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	27643	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	080047407	OTHER	IA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174509228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY L BEBENSEE MD

Provider Business Mailing Address
First Line	:	4631 MERLE HAY RD
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50322-1962
Country	:	US
Telephone Number	:	515-278-0949
Fax Number	:	515-278-6721

Provider Business Practice Location Address
First Line	:	4631 MERLE HAY RD
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50322-1962
Country	:	US
Telephone Number	:	515-278-0949
Fax Number	:	515-278-6721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	05/17/2012

Similar Medicare Providers

1831177237 — ROCHELLE N LEVY DO
Practice Location Address:

4631 MERLE HAY RD
DES MOINES, IA
50322-1962

Practice Phone: 515-278-0949
Practice Fax: 515-278-6721

1265410450 — WILLIAM F MAHER DO
Practice Location Address:

4631 MERLE HAY RD
DES MOINES, IA
50322-1962

Practice Phone: 515-278-0949
Practice Fax: 515-278-6721

1144208471 — ROSALEE M MARES FERNANDEZ PAC
Practice Location Address:

4631 MERLE HAY RD
DES MOINES, IA
50322-1962

Practice Phone: 515-278-0949
Practice Fax: 515-278-6721

1154729135 — ANTOINETTE M THOMPSON ARNP
Practice Location Address:

9250 UNIVERSITY AVE
WEST DES MOINES, IA
50266-1962

Practice Phone: 515-985-2676
Practice Fax:

1013656867 — MISS GLORIOSE BUTOYI REGAN I
Practice Location Address:

3305 SE 22ND ST APT 30
DES MOINES, IA
50320-1962

Practice Phone: 515-718-2723
Practice Fax:

1861109894 — ALLYSON VAN SANT
Practice Location Address:

350 E CRESTON AVE
DES MOINES, IA
50315-1962

Practice Phone: 515-298-4747
Practice Fax:

Directions to “ JEFFREY L BEBENSEE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.