Robert James Mcdonald, DO - Medicare Pathology in Lexington, KY

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Robert James Mcdonald, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Lexington, Kentucky. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Kentucky Medical Services Foundation, Inc and his current practice location is 800 Rose St, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 323-5425.

Robert James Mcdonald is licensed to practice in Kentucky (license number 04498) 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 1336583145.

Contact Information

Robert James Mcdonald, DO
800 Rose St,
Lexington, KY 40536-7001
(859) 323-5425
(859) 257-7572

Map and Direction




Physician's Profile

Full NameRobert James Mcdonald
GenderMale
SpecialityPathology
Experience11 Years
Location800 Rose St, Lexington, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert James Mcdonald graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1336583145
  • Provider Enumeration Date: 04/23/2013
  • Last Update Date: 05/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4284982299
  • Enrollment ID: I20190506000750

Medical Identifiers

Medical identifiers for Robert James Mcdonald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336583145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 04498 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Kentucky HospitalLexington, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kentucky Medical Services Foundation, Inc5698689909805

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 James Mcdonald allows following entities to bill medicare on his behalf.
Entity NameKentucky Medical Services Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326091448
PECOS PAC ID: 5698689909
Enrollment ID: O20031119000300
Entity NameSt. Claire Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821168535
PECOS PAC ID: 4486559085
Enrollment ID: O20031205000579

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 James Mcdonald 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 AddressPractice Location Address
Robert James Mcdonald, DO
800 Rose St # Ms 117,
Lexington, KY 40536-0298

Ph: (859) 323-5425		Robert James Mcdonald, DO
800 Rose St,
Lexington, KY 40536-7001

Ph: (859) 323-5425

Reviews and Comments


Pathology Doctors in Lexington, KY

Dr. Kirk Phillip Heitman, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Rose St, Ms117, Lexington, KY 40536
Phone: 859-257-1446    
Alexander Patrick Smith,
Pathology
Medicare: Medicare Enrolled
Practice Location: 290 Big Run Rd, Lexington, KY 40503
Phone: 859-278-9513    
Dr. Amy Siegel Gewirtz, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Rose St # Ms 117, Lexington, KY 40536
Phone: 859-323-5425    
Therese Jeanne Bocklage, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Rose St # Ms 117, Lexington, KY 40536
Phone: 859-323-5425    
Dr. Paul Bachner, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 800 Rose Street, Lexington, KY 40536
Phone: 859-323-5425    
Dr. Peter Tobias Nelson, MD, PHD
Pathology
Medicare: Medicare Enrolled
Practice Location: 800 Rose St # Ms 117, Lexington, KY 40536
Phone: 859-323-5425    
Dr. James L Bauer, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 290 Big Run Rd, Lexington, KY 40503
Phone: 859-278-9513    Fax: 859-277-6063

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.