Dr Robert M Faulk, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lavista, Nebraska. His current practice location is
7950 Harrison St, Lavista, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 592-0711.
Dr Robert M Faulk is licensed to practice in Nebraska (license number 17271) 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 1497803654.
Physician's Profile
Full Name | Dr Robert M Faulk |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 7950 Harrison St, Lavista, Nebraska |
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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: 1497803654
- Provider Enumeration Date: 01/06/2007
- Last Update Date: 02/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 6305976051
- Enrollment ID: I20100607000923
Medical Identifiers
Medical identifiers for Dr Robert M Faulk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497803654 | NPI | - | NPPES |
47076981613 | Medicaid | NE | |
1118018 | Medicaid | IA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 17271 (Nebraska) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 27410 (Iowa) | 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 M Faulk allows following entities to bill medicare on his behalf.
Entity Name | Radiology Consultants Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215969407 PECOS PAC ID: 8325947799 Enrollment ID: O20040105000605 |
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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 M Faulk 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 M Faulk, MD 7950 Harrison St, Lavista, NE 68128-2912 Ph: (402) 592-0711 | Dr Robert M Faulk, MD 7950 Harrison St, Lavista, NE 68128-2912 Ph: (402) 592-0711 |
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