Robert E Phillippe, CRNA is a medicare enrolled "Anesthesiology" physician in Berryville, Arkansas. His current practice location is
207 S Main St, Berryville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 423-4949.
Robert E Phillippe is licensed to practice in Arkansas (license number C01009) 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 1588612931.
Physician's Profile
| Full Name | Robert E Phillippe |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 207 S Main St, Berryville, Arkansas |
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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: 1588612931
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 05/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 3173517133
- Enrollment ID: I20040413000128
Medical Identifiers
Medical identifiers for Robert E Phillippe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588612931 | NPI | - | NPPES |
| 918392309 | Medicaid | MO | |
| 129076701 | Medicaid | AR | |
| 5S537 | Other | AR | BCBS |
| P00082511 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | C01009 (Arkansas) | 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 E Phillippe allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Hospital Berryville |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457306326
PECOS PAC ID: 9032022769
Enrollment ID: O20040505000763 |
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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 E Phillippe 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 E Phillippe, CRNA
Po Box 557,
Berryville, AR 72616-0557
Ph: (870) 423-4949 | Robert E Phillippe, CRNA
207 S Main St,
Berryville, AR 72616-3921
Ph: (870) 423-4949 |
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