Dr Robert Joseph Defatta, MD, PH D, FACS is a medicare enrolled "Otolaryngology" physician in Altoona, Wisconsin. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2002 and has 22 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Defatta Ent And Facial Plastic Surgery Sc and his current practice location is
1490 Rivers Edge Trail, Altoona, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 828-2368.
Dr Robert Joseph Defatta is licensed to practice in Wisconsin (license number 55984-20) 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 1578697520.
Physician's Profile
| Full Name | Dr Robert Joseph Defatta |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 22 Years |
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| Location | 1490 Rivers Edge Trail, Altoona, Wisconsin |
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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:
- Dr Robert Joseph Defatta attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2002
NPI Data:
- NPI Number: 1578697520
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 0345335675
- Enrollment ID: I20111205000260
Medical Identifiers
Medical identifiers for Dr Robert Joseph Defatta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578697520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 243412 (New York) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 243412 (New York) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 55984 (Wisconsin) | Secondary |
| 207YS0012X | Otolaryngology - Sleep Medicine | 243412 (New York) | Secondary |
| 207YS0012X | Otolaryngology - Sleep Medicine | 55984 (Wisconsin) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 243412 (New York) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 55984 (Wisconsin) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 55984 (Wisconsin) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 243412 (New York) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 243412 (New York) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 55984 (Wisconsin) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | 243412 (New York) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | 55984 (Wisconsin) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 243412 (New York) | Secondary |
| 207Y00000X | Otolaryngology | 55984-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Defatta Ent And Facial Plastic Surgery Sc | 6103059936 | 4 |
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 Joseph Defatta allows following entities to bill medicare on his behalf.
| Entity Name | Defatta Ent & Facial Plastic Surgery Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346664059
PECOS PAC ID: 6103059936
Enrollment ID: O20140502000083 |
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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 Joseph Defatta 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 Joseph Defatta, MD, PH D, FACS
1490 Rivers Edge Trail,
Altoona, WI 54720-1495
Ph: (715) 828-2368 | Dr Robert Joseph Defatta, MD, PH D, FACS
1490 Rivers Edge Trail,
Altoona, WI 54720-1495
Ph: (715) 828-2368 |
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