Robert Avena, MD is a medicare enrolled "Internal Medicine" physician in Sullivan, Indiana. His current practice location is
2200 N Section St, Sullivan, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 268-6292.
Robert Avena is licensed to practice in Indiana (license number 01038723) 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 1598772428.
Physician's Profile
Full Name | Robert Avena |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 2200 N Section St, Sullivan, Indiana |
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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: 1598772428
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 09/28/2010
Medicare PECOS Information:
- PECOS PAC ID: 0840268587
- Enrollment ID: I20041005000567
Medical Identifiers
Medical identifiers for Robert Avena such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598772428 | NPI | - | NPPES |
110123778 | Other | IN | RAILROAD MEDICARE |
1003265760C | Medicaid | IN | |
023329800 | Other | IN | FEDERAL BLACK LUNG |
10780065 | Other | IN | CAQH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 01038723 (Indiana) | 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. Robert Avena allows following entities to bill medicare on his behalf.
Entity Name | Good Samaritan Hospital Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182 |
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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 Avena 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 Avena, MD Po Box 385, Sullivan, IN 47882-0385 Ph: (812) 268-6292 | Robert Avena, MD 2200 N Section St, Sullivan, IN 47882-7523 Ph: (812) 268-6292 |
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