Marjorie Fricke Debenedictis, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M001334 Issued in GU

Practice address

633 Gov Carlos Camacho Rd.
Suite 103
Tamuning, GU 96913-3300

Phone

(671) 647-5829

Fax

(671) 647-5830

NPI assigned

Nov 1, 2006

Last updated

Jun 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Southern California Keck School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.3 of 100Reported as individual

Quality

99.47

Improvement activities

40

Cost

78.39

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wesley Charlton, OD

  • Optometrist
  • Bethel, AK
  • NPI 1174744155

  GU

  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marianas Eye Institute Inc

  • Ophthalmology Physician
  • Saipan, MP
  • NPI 1023168010
  Medicare reassignment NPD
• Island Eye Center

  dba Island Eye Institute

  • Ophthalmology Physician
  • Tamuning, GU
  • NPI 1487772000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1659458248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS CAMACHO RD.",
            "address_2": "SUITE 103",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133300",
            "telephone_number": "671-647-5829",
            "fax_number": "671-647-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS CAMACHO RD.",
            "address_2": "SUITE 103",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133300",
            "telephone_number": "671-647-5829",
            "fax_number": "671-647-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBENEDICTIS",
        "first_name": "MARJORIE",
        "middle_name": "FRICKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GU",
            "license": "M001334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernan F. De Guzman, M.D.
• Kisha Charizze Oasay De Joya, RN
• MC Jason Frias De Luna, LPC-178
• Daniel Edward Debardeleben, MD
• Tearsa Debardeleben, RD, LD
• Temple Grace Sarzaba Decena, LPN
• Amanda Del Rosario, M.D.
• Rema S. Delfino, RN
• Jonei Delgado, MS, RDN
• Beverly Grace Delos Reyes, M.A., L.P.C.

• Ophthalmology Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Ophthalmology Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.