Edward Harris Benjamin, MD in Enfield, CT

Edward Harris Benjamin, MD is a medicare enrolled "Dermatology" physician in Enfield, Connecticut. His current practice location is 115 Elm St, Suite 205, Enfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 741-2531.

Edward Harris Benjamin is licensed to practice in Connecticut (license number 021127) 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 1780737262.

Contact Information

	Edward Harris Benjamin, MD
	115 Elm St, Suite 205, Enfield, CT 06082-3712
	(860) 741-2531
	(860) 745-7587

Map and Direction

Physician's Profile

Full Name	Edward Harris Benjamin
Gender	Male
Speciality	Dermatology
Location	115 Elm St, Enfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780737262
Provider Enumeration Date: 01/19/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4082803895
Enrollment ID: I20110110000814

Medical Identifiers

Medical identifiers for Edward Harris Benjamin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780737262	NPI	-	NPPES
0044560	Other		AETNA
061044668 0001	Other		CIGNA
1211275	Medicaid	CT
052513	Other		CONNECTICARE
P857762	Other		OXFORD
010021127CT01	Other		BLUE CROSS
0000P00382	Other		HEALTH NET

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	021127 (Connecticut)	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. Edward Harris Benjamin allows following entities to bill medicare on his behalf.

Entity Name	Trinity Health Of New England Provider Network Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651

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. Edward Harris Benjamin 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
Edward Harris Benjamin, MD 115 Elm St, Suite 205, Enfield, CT 06082-3712 Ph: (860) 741-2531	Edward Harris Benjamin, MD 115 Elm St, Suite 205, Enfield, CT 06082-3712 Ph: (860) 741-2531

Reviews and Comments

Dermatology Doctors in Enfield, CT

Kelly L Mead, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 113 Elm St Ste 304, Enfield, CT 06082 Phone: 860-741-2225 Fax: 860-741-2229
Dr. Meagen Marcy Mccusker, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 113 Elm Street, Suite 304, Enfield, CT 06082 Phone: 860-741-2225 Fax: 860-741-2229

Edward Harris Benjamin, MD - Medicare Dermatology in Enfield, CT