Vernon Robertson, is a medicare enrolled "Dietitian, Registered" provider in Aberdeen, Mississippi. His current practice location is
400 S Chestnut St, Aberdeen, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 369-2455.
Vernon Robertson is licensed to practice in * (Not Available) (license number ) 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 1417405002.
Healthcare Provider's Profile
Full Name | Vernon Robertson |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 400 S Chestnut St, Aberdeen, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417405002
- Provider Enumeration Date: 09/13/2016
- Last Update Date: 09/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 1153619770
- Enrollment ID: I20161014001278
Medical Identifiers
Medical identifiers for Vernon Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417405002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
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. Vernon Robertson allows following entities to bill medicare on his behalf.
Provider Name | Boa Vida Hospital Of Aberdeen Ms Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
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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. Vernon 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 Address | Practice Location Address |
Vernon Robertson, 400 S Chestnut St, Aberdeen, MS 39730-3335 Ph: (662) 369-2455 | Vernon Robertson, 400 S Chestnut St, Aberdeen, MS 39730-3335 Ph: (662) 369-2455 |
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