Ebenezer Kofi Bentum Odoom, MD in Queens Village, NY

Ebenezer Kofi Bentum Odoom, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Queens Village, New York. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Primary Partnercare Physicians Pllc and his current practice location is 21530 Hillside Ave, Queens Village, New York. You can reach out to his office (for appointments etc.) via phone at (718) 740-1701.

Ebenezer Kofi Bentum Odoom is licensed to practice in New York (license number 230787) 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 1154416691.

Contact Information

	Ebenezer Kofi Bentum Odoom, MD
	21530 Hillside Ave, Queens Village, NY 11427-1831
	(718) 740-1701
	(718) 740-1901

Map and Direction

Physician's Profile

Full Name	Ebenezer Kofi Bentum Odoom
Gender	Male
Speciality	Internal Medicine
Experience	31 Years
Location	21530 Hillside Ave, Queens Village, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ebenezer Kofi Bentum Odoom graduated from medical school in 1993

NPI Data:

NPI Number: 1154416691
Provider Enumeration Date: 10/03/2006
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9032190947
Enrollment ID: I20040526001449

Medical Identifiers

Medical identifiers for Ebenezer Kofi Bentum Odoom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154416691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	230787 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Primary Partnercare Physicians Pllc	9638593585	22

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. Ebenezer Kofi Bentum Odoom allows following entities to bill medicare on his behalf.

Entity Name	Ebenezer Odoom Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942642038 PECOS PAC ID: 5597991935 Enrollment ID: O20131113001552

Entity Name	Primary Partnercare Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891318168 PECOS PAC ID: 9638593585 Enrollment ID: O20200723003709

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. Ebenezer Kofi Bentum Odoom 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
Ebenezer Kofi Bentum Odoom, MD 1010 Northern Blvd Ste 328, Great Neck, NY 11021-5329 Ph: (516) 233-2484	Ebenezer Kofi Bentum Odoom, MD 21530 Hillside Ave, Queens Village, NY 11427-1831 Ph: (718) 740-1701

Reviews and Comments

Internal Medicine Doctors in Queens Village, NY

Sheela Manoj Kurup, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: Bernard Fineson Developmental Center, Hillside Complex, Queens Village, NY 11428 Phone: 718-217-4242 Fax: 718-217-6068
Dr. Azra Wiqas, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 8602 Musket St, Queens Village, NY 11427 Phone: 718-776-0555 Fax: 718-776-7271
Dhruv Mahendra Amin, DO Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 21814 Hillside Ave, Queens Village, NY 11427 Phone: 718-776-4444 Fax: 718-776-8536
Corazon Tolentino, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 11218 Springfield Blvd, Queens Village, NY 11429 Phone: 718-479-6600 Fax: 718-217-3546
Mr. Eusebe Constantin, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 12 Springfield Boulevard, Queens Village, NY 11429 Phone: 718-740-2200
Aryel Nicoleau, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 9204 Springfield Boulevard, Queens Village, NY 11428 Phone: 718-465-3040 Fax: 718-464-9063
Dr. Chinh Minh Vuong, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 9301 218th St, Queens Village, NY 11428 Phone: 718-468-6096 Fax: 718-468-6097

Ebenezer Kofi Bentum Odoom, MD - Medicare Internal Medicine in Queens Village, NY