Dr Michael A Corben, OD is a medicare enrolled "Optometrist" provider in Newhall, California. His current practice location is
23206 Lyons Ave, Suite 102, Newhall, California. You can reach out to his office (for appointments etc.) via phone at
(661) 259-2168.
Dr Michael A Corben is licensed to practice in California (license number 4954T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043297666.
Healthcare Provider's Profile
| Full Name | Dr Michael A Corben |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 23206 Lyons Ave, Newhall, California |
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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: 1043297666
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 11/28/2007
Medicare PECOS Information:
- PECOS PAC ID: 2567543937
- Enrollment ID: I20080111000476
Medical Identifiers
Medical identifiers for Dr Michael A Corben such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043297666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 4954T (California) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 4954T (California) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 4954T (California) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 4954T (California) | Secondary |
| 152WS0006X | Optometrist - Sports Vision | 4954T (California) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | 4954T (California) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 4954T (California) | 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. Dr Michael A Corben allows following entities to bill medicare on his behalf.
| Provider Name | Corben Optometry Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801910096
PECOS PAC ID: 2365523735
Enrollment ID: O20080111000481 |
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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 Michael A Corben 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 |
|---|
Dr Michael A Corben, OD
23206 Lyons Ave, Suite 102,
Newhall, CA 91321-2667
Ph: (661) 259-2168 | Dr Michael A Corben, OD
23206 Lyons Ave, Suite 102,
Newhall, CA 91321-2667
Ph: (661) 259-2168 |
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