Mr Benjamin J Kornblum, - Medicare Nurse Practitioner in Ithaca, NY

Mr Benjamin J Kornblum, is a medicare enrolled "Nurse Practitioner - Family" in Ithaca, New York. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cayuga Family Medicine Pc and his current practice location is 302 W Seneca St, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at (607) 697-0360.

Mr Benjamin J Kornblum is licensed to practice in New York (license number 346283) 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 1093337446.

Contact Information

Mr Benjamin J Kornblum,
302 W Seneca St,
Ithaca, NY 14850-4130
(607) 697-0360
Not Available



Provider's Profile

Full NameMr Benjamin J Kornblum
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location302 W Seneca St, Ithaca, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Benjamin J Kornblum graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1093337446
  • Provider Enumeration Date: 05/08/2020
  • Last Update Date: 07/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3779998570
  • Enrollment ID: I20210208002457

Medical Identifiers

Medical identifiers for Mr Benjamin J Kornblum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093337446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 346283 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cayuga Medical Center At IthacaIthaca, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cayuga Family Medicine Pc18503214645

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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. Mr Benjamin J Kornblum allows following entities to bill medicare on his behalf.
Entity NameCayuga Family Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750308474
PECOS PAC ID: 1850321464
Enrollment ID: O20050815000047

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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. Mr Benjamin J Kornblum 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
Mr Benjamin J Kornblum,
302 W Seneca St,
Ithaca, NY 14850-4130

Ph: (607) 697-0360
Mr Benjamin J Kornblum,
302 W Seneca St,
Ithaca, NY 14850-4130

Ph: (607) 697-0360

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Nurse Practitioner Nurses in Ithaca, NY

Judith Scherer, NP FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 209 W State St, Ithaca, NY 14850
Phone: 607-257-5263    Fax: 607-216-0902
Jessa Irene Dauria, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 217 N Aurora St, Ithaca, NY 14850
Phone: 607-273-2811    
Deborah D Mcintyre, RN NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 821 Cliff St, Ithaca, NY 14850
Phone: 607-273-7700    Fax: 607-273-6958
Ms. Eleanor Kraft Sanders, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 204 N Cayuga St, Ithaca, NY 14850
Phone: 607-273-7494    Fax: 607-273-7484
Mrs. Jolene S Burun, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2432 N Triphammer Rd, Ithaca, NY 14850
Phone: 607-272-0460    
Bonnie Lefkowitz-white, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 217 N Aurora St, Ithaca, NY 14850
Phone: 607-273-2811    Fax: 607-273-1170

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