Individual ProviderBenjamin RiegseckerStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address101 The City Drive, City Tower, Suite 400, Orange, CA 92868(714) 456-5691PECOS EnrollmentBased on the most recent information from CMS, provider Benjamin Riegsecker is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1245032119Provider TypeIndividualFull NameRiegsecker, BenjaminGenderMaleSole ProprietorNoEnumeration Date3/24/2025Last Updated3/24/2025Contact InformationPractice LocationPractice Address101 The City Drive, City Tower, Suite 400, Orange, CA 92868Phone(714) 456-5691FaxUnlisted FaxMailing LocationMailing Address14066 San Dimas Ln, Rancho Cucamonga, CA 91739-2116PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer