Carly Bendzans, CNM is a medicare enrolled "Advanced Practice Midwife" in Middletown, Connecticut. Her current practice location is
49 Crescent St, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(508) 272-2668.
Carly Bendzans is licensed to practice in Connecticut (license number 486) 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 1083002158.
Provider's Profile
| Full Name | Carly Bendzans |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 49 Crescent St, Middletown, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083002158
- Provider Enumeration Date: 12/24/2014
- Last Update Date: 03/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173806957
- Enrollment ID: I20200226000533
Medical Identifiers
Medical identifiers for Carly Bendzans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083002158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 201911184NP-PP (Oregon) | Secondary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
| 367A00000X | Advanced Practice Midwife | 486 (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. Carly Bendzans allows following entities to bill medicare on her behalf.
| Entity Name | University Professional Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013 |
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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. Carly Bendzans 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 |
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Carly Bendzans, CNM
40 Hillcrest Ave,
Middletown, CT 06457-5322
Ph: (508) 272-2668 | Carly Bendzans, CNM
49 Crescent St,
Middletown, CT 06457-3601
Ph: (508) 272-2668 |
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