Dr Philip Andrew Rothberg, MD, MPH&TM is a medicare enrolled "Surgery" physician in St Johns, Florida. His current practice location is
300 Saint Elizabeth Way Ste 230, St Johns, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 389-8861.
Dr Philip Andrew Rothberg is licensed to practice in Florida (license number ME148056) 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 1093077307.
Physician's Profile
| Full Name | Dr Philip Andrew Rothberg |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 300 Saint Elizabeth Way Ste 230, St Johns, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093077307
- Provider Enumeration Date: 06/12/2012
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436373255
- Enrollment ID: I20231114000488
Medical Identifiers
Medical identifiers for Dr Philip Andrew Rothberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093077307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 0101254601 (Virginia) | Secondary |
| 208600000X | Surgery | ME148056 (Florida) | 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. Dr Philip Andrew Rothberg allows following entities to bill medicare on his behalf.
| Entity Name | North Florida Surgeons Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912953290
PECOS PAC ID: 2769381391
Enrollment ID: O20040102000629 |
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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. Dr Philip Andrew Rothberg 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 |
|---|
Dr Philip Andrew Rothberg, MD, MPH&TM
11945 San Jose Blvd Ste 300,
Jacksonville, FL 32223-1627
Ph: (904) 396-1725 | Dr Philip Andrew Rothberg, MD, MPH&TM
300 Saint Elizabeth Way Ste 230,
St Johns, FL 32259-1153
Ph: (904) 389-8861 |
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