Mr Paul Robertson, MS, RDN, LDN - Medicare Dietitian in Jackson, MS

Mr Paul Robertson, MS, RDN, LDN is a medicare enrolled "Dietitian, Registered - Nutrition, Metabolic" provider in Jackson, Mississippi. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 350 West Woodrow Wilson Avenue, Ambulatory Services - Outpatient Dietitian, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 815-2500.

Mr Paul Robertson is licensed to practice in Mississippi (license number D1361) 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 1770718298.

Contact Information

Mr Paul Robertson, MS, RDN, LDN
350 West Woodrow Wilson Avenue, Ambulatory Services - Outpatient Dietitian,
Jackson, MS 39213
(601) 815-2500
(601) 984-4074

Map and Direction




Healthcare Provider's Profile

Full NameMr Paul Robertson
GenderMale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience15 Years
Location350 West Woodrow Wilson Avenue, Jackson, Mississippi
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 Paul Robertson graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1770718298
  • Provider Enumeration Date: 05/28/2009
  • Last Update Date: 01/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8628244100
  • Enrollment ID: I20120104000835

Medical Identifiers

Medical identifiers for Mr Paul Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770718298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133VN1006XDietitian, Registered - Nutrition, Metabolic D1361 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036782

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 Paul Robertson allows following entities to bill medicare on his behalf.
Provider NameState Of Mississippi - University Of Mississippi Medical Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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 Paul Robertson 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 Paul Robertson, MS, RDN, LDN
350 West Woodrow Wilson Avenue, Ambulatory Services - Outpatient Dietitian,
Jackson, MS 39213

Ph: (601) 815-2500
Mr Paul Robertson, MS, RDN, LDN
350 West Woodrow Wilson Avenue, Ambulatory Services - Outpatient Dietitian,
Jackson, MS 39213

Ph: (601) 815-2500

Reviews and Comments


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Phone: 601-329-5751    
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Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216
Phone: 601-362-4471    Fax: 601-368-4483

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.