Dr Maryellen Versoza Benito, DO - Medicare Family Medicine in Southampton, NY

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Dr Maryellen Versoza Benito, DO is a medicare enrolled "Family Medicine" physician in Southampton, New York. Her current practice location is 2 Montauk Hwy, Southampton, New York. You can reach out to her office (for appointments etc.) via phone at (646) 962-9920.

Dr Maryellen Versoza Benito is licensed to practice in New York (license number 263180) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639379126.

Contact Information

Dr Maryellen Versoza Benito, DO
2 Montauk Hwy,
Southampton, NY 11968-4199
(646) 962-9920
Not Available

Map and Direction




Physician's Profile

Full NameDr Maryellen Versoza Benito
GenderFemale
SpecialityFamily Medicine
Location2 Montauk Hwy, Southampton, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639379126
  • Provider Enumeration Date: 07/23/2007
  • Last Update Date: 07/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729201538
  • Enrollment ID: I20140523001766

Medical Identifiers

Medical identifiers for Dr Maryellen Versoza Benito such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639379126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 263180 (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 Maryellen Versoza Benito allows following entities to bill medicare on her behalf.
Entity NameWeill Medical College Of Cornell
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124170212
PECOS PAC ID: 6800709023
Enrollment ID: O20031118000661
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468
Entity NameMeeting House Lane Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902088495
PECOS PAC ID: 6800972589
Enrollment ID: O20080326000089
Entity NameOptum Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 Maryellen Versoza Benito 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 AddressPractice Location Address
Dr Maryellen Versoza Benito, DO
2 Montauk Hwy,
Southampton, NY 11968-4199

Ph: (646) 962-9920		Dr Maryellen Versoza Benito, DO
2 Montauk Hwy,
Southampton, NY 11968-4199

Ph: (646) 962-9920

Reviews and Comments


Family Medicine Doctors in Southampton, NY

Dr. Jennifer Lyles Titus, D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: 435 N Main St, Southampton, NY 11968
Phone: 949-375-1857    
Teiah Moore, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 240 Meeting House Ln, Southampton, NY 11968
Phone: 631-726-0409    
Miss Valaree Alexis Luck, DO
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Practice Location: 240 Meeting House Ln, Southampton, NY 11968
Phone: 631-726-0409    Fax: 631-726-0396
Christina Maria Hamm, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Meeting House Ln, Southampton, NY 11968
Phone: 631-726-8200    
Dr. Allison Elizabeth Van Arsdale, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Meeting House Ln, Southampton, NY 11968
Phone: 631-726-8300    Fax: 631-726-8886
Dr. Peter Joseph Raia, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 89 Jobs Lane, Southampton, NY 11968
Phone: 631-283-9526    Fax: 631-283-6491

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.