Hannah Lauren Bengtson, O.D.
Individual provider Active NPI Optometrist · Macomb, IL
NPI 1780154013 · NPPES record last updated Nov 29, 2018
Key facts
- NPI
- 1780154013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046.011244 (IL)
- Practice address
- 820 E. Jackson St.
Macomb, IL 61455 - Phone
- (309) 833-4242
- Fax
- (309) 833-3597
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tim a Bengtson O.D., P.C.
Practice addresses (Care Compare)
820 E Jackson St
Macomb, IL 61455-2412
Phone (309) 833-4242
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.56 of 100
- Quality
- 89.58
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190220002687 | IL | Practitioner - Optometry | 5597003335 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011244 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tim a Bengtson O.D., P.C. | Optometrist | Current |
Accepting new patients |
Locations
820 E Jackson St
Macomb, IL 61455
Phone (309) 343-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.011244 | IL | Yes |
Addresses
Primary practice location
820 E. Jackson St.
Macomb, IL 61455
Mailing address
820 E. Jackson St.
Macomb, IL 61455
Phone (309) 833-4242
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.