Corrine Como Bengzon, OD is a medicare enrolled "Optometrist" provider in Legdewood, New Jersey. Her current practice location is
461 Route 10 Ste A 100, Legdewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 252-2423.
Corrine Como Bengzon is licensed to practice in New Jersey (license number 27OA00550000) 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 1457415283.
Healthcare Provider's Profile
Full Name | Corrine Como Bengzon |
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Gender | Female |
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Speciality | Optometrist |
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Location | 461 Route 10 Ste A 100, Legdewood, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457415283
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 10/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577918127
- Enrollment ID: I20231017001730
Medical Identifiers
Medical identifiers for Corrine Como Bengzon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457415283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 27OA00550000 (New Jersey) | Primary |
152W00000X | Optometrist | 27OM00025300 (New Jersey) | Secondary |
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. Corrine Como Bengzon allows following entities to bill medicare on her behalf.
Provider Name | Charles M Cummins, Od, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1598797722 PECOS PAC ID: 0446246995 Enrollment ID: O20040719000496 |
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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. Corrine Como Bengzon 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 |
Corrine Como Bengzon, OD 4 Fawnridge Dr, Long Valley, NJ 07853-3247 Ph: (908) 625-8491 | Corrine Como Bengzon, OD 461 Route 10 Ste A 100, Legdewood, NJ 07852 Ph: (973) 252-2423 |
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