Christian Tiffany Brockenberry, DMD - Medicare Dentist in New Haven, CT

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Christian Tiffany Brockenberry, DMD is a medicare enrolled "Dentist - General Practice" provider in New Haven, Connecticut. Her current practice location is 428 Columbus Ave, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 503-3040.

Christian Tiffany Brockenberry is licensed to practice in Connecticut (license number 10610) 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 1730407115.

Contact Information

Christian Tiffany Brockenberry, DMD
428 Columbus Ave,
New Haven, CT 06519-1233
(203) 503-3040
(203) 503-3187

Map and Direction




Healthcare Provider's Profile

Full NameChristian Tiffany Brockenberry
GenderFemale
SpecialityDentist - General Practice
Location428 Columbus Ave, New Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730407115
  • Provider Enumeration Date: 05/11/2010
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244542652
  • Enrollment ID: I20201020000976

Medical Identifiers

Medical identifiers for Christian Tiffany Brockenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730407115NPI-NPPES
008036565MedicaidCT
0051536OtherCTCSR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 10610 (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. Christian Tiffany Brockenberry allows following entities to bill medicare on her behalf.
Entity NameCornell Scott Hill Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902921380
PECOS PAC ID: 3072418359
Enrollment ID: O20031201000145

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. Christian Tiffany Brockenberry 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
Christian Tiffany Brockenberry, DMD
400 Columbus Ave, Credentialing Specialist,
New Haven, CT 06519-1233

Ph: (203) 503-3040		Christian Tiffany Brockenberry, DMD
428 Columbus Ave,
New Haven, CT 06519-1233

Ph: (203) 503-3040

Reviews and Comments


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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.