Robert L Mabry, MD is a medicare enrolled "Emergency Medicine" physician in St Joeseph, Missouri. His current practice location is
5325 Faraon St, St Joeseph, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 753-4647.
Robert L Mabry is licensed to practice in Missouri (license number 2006023532) 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 1487746954.
Physician's Profile
| Full Name | Robert L Mabry |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 5325 Faraon St, St Joeseph, Missouri |
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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: 1487746954
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 07/17/2007
Medicare PECOS Information:
- PECOS PAC ID: 2062316524
- Enrollment ID: I20080814000728
Medical Identifiers
Medical identifiers for Robert L Mabry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487746954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 2006023532 (Missouri) | 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 L Mabry allows following entities to bill medicare on his behalf.
| Entity Name | Leading Edge Emergency Physicians, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003165259
PECOS PAC ID: 2466601588
Enrollment ID: O20121005000189 |
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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 L Mabry 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 |
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Robert L Mabry, MD
144 Landa St, Apt 357,
New Braunfels, TX 78130-7922
Ph: (830) 627-9355 | Robert L Mabry, MD
5325 Faraon St,
St Joeseph, MO 64506
Ph: (816) 753-4647 |
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