Dr Benjamin Heath Durham, MD - Medicare Pathology in New Brunswick, NJ

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Dr Benjamin Heath Durham, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in New Brunswick, New Jersey. He went to University Of Alabama School Of Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Rutgers Health-rwj Pediatric Critical Care and his current practice location is 195 Little Albany St Rm 4557, New Brunswick, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 235-9718.

Dr Benjamin Heath Durham is licensed to practice in New Jersey (license number 25MA11324200) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164690483.

Contact Information

Dr Benjamin Heath Durham, MD
195 Little Albany St Rm 4557,
New Brunswick, NJ 08901-1914
(732) 235-9718
Not Available

Map and Direction




Physician's Profile

Full NameDr Benjamin Heath Durham
GenderMale
SpecialityPathology
Experience19 Years
Location195 Little Albany St Rm 4557, New Brunswick, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Benjamin Heath Durham attended and graduated from University Of Alabama School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1164690483
  • Provider Enumeration Date: 02/20/2008
  • Last Update Date: 12/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305106485
  • Enrollment ID: I20231103000656

Medical Identifiers

Medical identifiers for Dr Benjamin Heath Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164690483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZH0000XPathology - Hematology 25MA11324200 (New Jersey)Secondary
207ZH0000XPathology - Hematology 270378 (New York)Secondary
207ZH0000XPathology - Hematology 120870 (California)Secondary
207ZP0007XPathology - Molecular Genetic Pathology 25MA11324200 (New Jersey)Secondary
207ZP0007XPathology - Molecular Genetic Pathology 270378 (New York)Secondary
207ZP0007XPathology - Molecular Genetic Pathology 120870 (California)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 270378 (New York)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 120870 (California)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 25MA11324200 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Robert Wood Johnson University HospitalNew brunswick, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rutgers Health-rwj Pediatric Critical Care1355390287153

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 Heath Durham allows following entities to bill medicare on his behalf.
Entity NameRutgers Health-rwj Pediatric Critical Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780766527
PECOS PAC ID: 1355390287
Enrollment ID: O20050119000070
Entity NameRutgers Health-rwj Scleroderma Program
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679655781
PECOS PAC ID: 5193764991
Enrollment ID: O20050502000326

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 Heath Durham 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 Benjamin Heath Durham, MD
110 Somerset St Apt 2008,
New Brunswick, NJ 08901-4810

Ph: (256) 574-9779		Dr Benjamin Heath Durham, MD
195 Little Albany St Rm 4557,
New Brunswick, NJ 08901-1914

Ph: (732) 235-9718

Reviews and Comments


Pathology Doctors in New Brunswick, NJ

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Samet Kucukcolak,
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Dr. Marvin Lessig, D.O.
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Practice Location: 167 New St, New Brunswick, NJ 08901
Phone: 732-220-7028    Fax: 732-220-7199
Dr. Karel Raska Jr., MD PHD
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Practice Location: 254 Easton Avenue, New Brunswick, NJ 08903
Phone: 732-743-8504    Fax: 732-828-3858

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.