Benjamin Tack, DO - Medicare Internal Medicine in Roseland, NJ

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Benjamin Tack, DO is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Roseland, New Jersey. His current practice location is 189 Eagle Rock Ave, Roseland, New Jersey. You can reach out to his office (for appointments etc.) via phone at (845) 853-5739.

Benjamin Tack is licensed to practice in New Jersey (license number 25MB11904700) 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 1215426812.

Contact Information

Benjamin Tack, DO
189 Eagle Rock Ave,
Roseland, NJ 07068-1347
(845) 853-5739
Not Available

Map and Direction




Physician's Profile

Full NameBenjamin Tack
GenderMale
SpecialityInternal Medicine - Infectious Disease
Location189 Eagle Rock Ave, Roseland, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215426812
  • Provider Enumeration Date: 05/09/2018
  • Last Update Date: 08/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779946876
  • Enrollment ID: I20230822003237

Medical Identifiers

Medical identifiers for Benjamin Tack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215426812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease 25MB11904700 (New Jersey)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. Benjamin Tack allows following entities to bill medicare on his behalf.
Entity NameInfectious Disease Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699711762
PECOS PAC ID: 0547279036
Enrollment ID: O20060411000528

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. Benjamin Tack 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
Benjamin Tack, DO
189 Eagle Rock Ave,
Roseland, NJ 07068-1347

Ph: (845) 853-5739		Benjamin Tack, DO
189 Eagle Rock Ave,
Roseland, NJ 07068-1347

Ph: (845) 853-5739

Reviews and Comments


Internal Medicine Doctors in Roseland, NJ

Dr. Stephen Smith, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 189 Eagle Rock Ave, Roseland, NJ 07068
Phone: 973-980-0195    Fax: 973-774-1920
Dr. Richard L Klein, M.D.
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1 Adp Blvd, Roseland, NJ 07068
Phone: 973-974-5757    Fax: 973-974-3348
Jennifer Knight, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 189 Eagle Rock Ave, Roseland, NJ 07068
Phone: 850-443-5609    
Dr. George Schneider, M.D.
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 204 Eagle Rock Ave, Roseland, NJ 07068
Phone: 973-228-2047    Fax: 973-228-1428
Dr. Albert Kowalski, M.D.
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 80 Livingston Ave, Roseland, NJ 07068
Phone: 973-548-5189    Fax: 973-548-7690

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.