Dr Robert Allen Ralph, MD is a medicare enrolled "Family Medicine" physician in Mooresboro, North Carolina. His current practice location is
605 N C 120 Highway, Mooresboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 453-0703.
Dr Robert Allen Ralph is licensed to practice in North Carolina (license number 9400326) 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 1245248657.
Physician's Profile
| Full Name | Dr Robert Allen Ralph |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 605 N C 120 Highway, Mooresboro, North Carolina |
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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: 1245248657
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 08/10/2010
Medicare PECOS Information:
- PECOS PAC ID: 3971798364
- Enrollment ID: I20101111000112
Medical Identifiers
Medical identifiers for Dr Robert Allen Ralph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245248657 | NPI | - | NPPES |
| A8361 | Other | | MEDCOST |
| 080171131 | Other | | MEDICARE RAILROAD |
| 8912898 | Medicaid | NC | |
| 12898 | Other | NC | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 9400326 (North Carolina) | Primary |
| 207Q00000X | Family Medicine | 18038 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 4301050764 (Michigan) | Secondary |
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 Robert Allen Ralph allows following entities to bill medicare on his behalf.
| Entity Name | Dlp Rutherford Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962821322
PECOS PAC ID: 0345466561
Enrollment ID: O20140724001507 |
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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 Robert Allen Ralph 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 Robert Allen Ralph, MD
605 N C 120 Highway,
Mooresboro, NC 28114-6713
Ph: (828) 453-0703 | Dr Robert Allen Ralph, MD
605 N C 120 Highway,
Mooresboro, NC 28114-6713
Ph: (828) 453-0703 |
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