Dr Cornell Overbeeke, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gulf Breeze, Florida. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Vista Radiology, Pc, Radiologists Of Univ Of Rochester and his current practice location is
1124 Willowood Cir, Gulf Breeze, Florida. You can reach out to his office (for appointments etc.) via phone at
(865) 766-6870.
Dr Cornell Overbeeke is licensed to practice in Tennessee (license number 43268) 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 1881793818.
Physician's Profile
| Full Name | Dr Cornell Overbeeke |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 29 Years |
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| Location | 1124 Willowood Cir, Gulf Breeze, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Cornell Overbeeke graduated from medical school in 1995
NPI Data:
- NPI Number: 1881793818
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 07/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244256675
- Enrollment ID: I20100212000185
Medical Identifiers
Medical identifiers for Dr Cornell Overbeeke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881793818 | NPI | - | NPPES |
| 04515240 | Other | IL | BLUE CROSS PROVIDER ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 254638 (New York) | Secondary |
| 2085B0100X | Radiology - Body Imaging | 036097433 (Illinois) | Secondary |
| 2085N0904X | Radiology - Nuclear Radiology | 036097433 (Illinois) | Secondary |
| 2085P0229X | Radiology - Pediatric Radiology | 036097433 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036097433 (Illinois) | Secondary |
| 2085R0203X | Radiology - Therapeutic Radiology | 036097433 (Illinois) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 036097433 (Illinois) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | 036097433 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 43268 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vista Radiology, Pc | 9234041559 | 54 |
| Radiologists Of Univ Of Rochester | 6800700170 | 115 |
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 Cornell Overbeeke allows following entities to bill medicare on his behalf.
| Entity Name | West Florida Radiology Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396724654
PECOS PAC ID: 0941224612
Enrollment ID: O20060120000415 |
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| Entity Name | Vista Radiology, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386698710
PECOS PAC ID: 9234041559
Enrollment ID: O20230504001034 |
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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. Dr Cornell Overbeeke 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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Dr Cornell Overbeeke, MD
2001 Laurel Ave # N304,
Knoxville, TN 37916-1810
Ph: (865) 766-6870 | Dr Cornell Overbeeke, MD
1124 Willowood Cir,
Gulf Breeze, FL 32563-3492
Ph: (865) 766-6870 |
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