Bobby Niemann, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in St. George, Utah. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Carson Tahoe Physician Clinics and his current practice location is
2891 E Mall Drive, Ste 101, St. George, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 619-8632.
Bobby Niemann is licensed to practice in Utah (license number 12361745-1205) 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 1275595985.
Physician's Profile
| Full Name | Bobby Niemann |
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| Gender | Male |
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| Speciality | Neurology |
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| Experience | 49 Years |
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| Location | 2891 E Mall Drive, St. George, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bobby Niemann graduated from medical school in 1975
NPI Data:
- NPI Number: 1275595985
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 02/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527032747
- Enrollment ID: I20230113000312
Medical Identifiers
Medical identifiers for Bobby Niemann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275595985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 12361745-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carson Tahoe Physician Clinics | 1153479027 | 97 |
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. Bobby Niemann allows following entities to bill medicare on his behalf.
| Entity Name | Carson Tahoe Regional Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255360160
PECOS PAC ID: 1759284862
Enrollment ID: O20040128000187 |
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| Entity Name | Carson Tahoe Physician Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023265717
PECOS PAC ID: 1153479027
Enrollment ID: O20090502000046 |
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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. Bobby Niemann 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 |
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Bobby Niemann, MD
Po Box 912042,
Saint George, UT 84791-2042
Ph: (435) 215-0230 | Bobby Niemann, MD
2891 E Mall Drive, Ste 101,
St. George, UT 84790-8479
Ph: (435) 619-8632 |
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