Dr Benjamin Tannenbaum, DC, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in Smithtown, New York. His current practice location is
496 Smithtown Byp Ste 200, Smithtown, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 361-5300.
Dr Benjamin Tannenbaum is licensed to practice in New York (license number 342001) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912927047.
Healthcare Provider's Profile
| Full Name | Dr Benjamin Tannenbaum |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 496 Smithtown Byp Ste 200, Smithtown, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1912927047
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 02/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 7113929688
- Enrollment ID: I20200710001618
Medical Identifiers
Medical identifiers for Dr Benjamin Tannenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912927047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | X011198 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 342001 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Benjamin Tannenbaum allows following entities to bill medicare on his behalf.
| Provider Name | Prohealth Care Associates Llp |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468 |
|---|
| Provider Name | Optum Urgent Care Pllc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1285975797
PECOS PAC ID: 8628299518
Enrollment ID: O20141017000598 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Benjamin Tannenbaum is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Benjamin Tannenbaum, DC, FNP
307 Plymouth St,
West Hempstead, NY 11552-2436
Ph: (516) 385-6408 | Dr Benjamin Tannenbaum, DC, FNP
496 Smithtown Byp Ste 200,
Smithtown, NY 11787-5011
Ph: (631) 361-5300 |
Reviews and Comments