Robert Alexander Wynn, MD is a medicare enrolled "Surgery" physician in Springfield, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Southern Surgical Providers, P.c. and his current practice location is
459 Highway 119 S, Springfield, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 754-0382.
Robert Alexander Wynn is licensed to practice in Georgia (license number 056939) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1790748432.
Physician's Profile
Full Name | Robert Alexander Wynn |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 26 Years |
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Location | 459 Highway 119 S, Springfield, Georgia |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Robert Alexander Wynn attended and graduated from Medical College Of Georgia School Of Medicine in 1998
NPI Data:
- NPI Number: 1790748432
- Provider Enumeration Date: 04/11/2006
- Last Update Date: 09/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133163025
- Enrollment ID: I20051012000690
Medical Identifiers
Medical identifiers for Robert Alexander Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790748432 | NPI | - | NPPES |
264241741A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 056939 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern Surgical Providers, P.c. | 3274663091 | 2 |
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. Robert Alexander Wynn allows following entities to bill medicare on his behalf.
Entity Name | Southern Surgical Providers, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619203809 PECOS PAC ID: 3274663091 Enrollment ID: O20100604000627 |
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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. Robert Alexander Wynn 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 |
Robert Alexander Wynn, MD 459 Highway 119 S, Springfield, GA 31329-3021 Ph: (912) 754-0382 | Robert Alexander Wynn, MD 459 Highway 119 S, Springfield, GA 31329-3021 Ph: (912) 754-0382 |
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