Robert Patrick Daze, DO in Carmel, IN

Robert Patrick Daze, DO is a medicare enrolled "Dermatology" physician in Carmel, Indiana. His current practice location is 755 W Carmel Dr Ste 101, Carmel, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 846-2396.

Robert Patrick Daze is licensed to practice in Indiana (license number 02006709A) 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 1326535741.

Contact Information

	Robert Patrick Daze, DO
	755 W Carmel Dr Ste 101, Carmel, IN 46032-5875
	(317) 846-2396
	(317) 846-1699

Map and Direction

Physician's Profile

Full Name	Robert Patrick Daze
Gender	Male
Speciality	Dermatology
Location	755 W Carmel Dr Ste 101, Carmel, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326535741
Provider Enumeration Date: 04/20/2018
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9234511619
Enrollment ID: I20220802000404

Medical Identifiers

Medical identifiers for Robert Patrick Daze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326535741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	02006709A (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 Patrick Daze allows following entities to bill medicare on his behalf.

Entity Name	Forefront Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659796225 PECOS PAC ID: 3779471701 Enrollment ID: O20140425001640

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 Patrick Daze 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 Patrick Daze, DO 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Robert Patrick Daze, DO 755 W Carmel Dr Ste 101, Carmel, IN 46032-5875 Ph: (317) 846-2396

Reviews and Comments

Dermatology Doctors in Carmel, IN

Laryn K Steadman, MD Dermatology Medicare: Medicare Enrolled Practice Location: 755 W Carmel Dr Ste 101, Carmel, IN 46032 Phone: 317-846-2396 Fax: 317-846-1699
Mary J Tempel, N.P. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 11900 N Pennsylvania St, #202, Carmel, IN 46032 Phone: 317-926-3739 Fax: 317-921-7478
Nico Mousdicas, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 755 W Carmel Dr, Suite 101, Carmel, IN 46032 Phone: 317-846-2396 Fax: 317-846-1699
Dr. Andrew T Bridge, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13000 N Meridian St Ste 101, Carmel, IN 46032 Phone: 317-208-3813 Fax: 317-208-3815
Ross Matthew Levy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13450 N Meridian St, Suite 355, Carmel, IN 46032 Phone: 317-582-8484
Lisa Edwards Trivedi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 725 Lakefront Ct, Carmel, IN 46032 Phone: 317-926-3739

Robert Patrick Daze, DO - Medicare Dermatology in Carmel, IN