Robert Sterling Hollabaugh Jr, MD is a medicare enrolled "Urology" physician in Southaven, Mississippi. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Urology. He is a member of the group practice Conrad Pearson Clinic Pc, Conrad Pearson Clinic Pc and his current practice location is
125 Guthrie Dr Ste 102, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 349-1964.
Robert Sterling Hollabaugh Jr is licensed to practice in Tennessee (license number 30313) 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 1437117561.
Physician's Profile
| Full Name | Robert Sterling Hollabaugh Jr |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 32 Years |
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| Location | 125 Guthrie Dr Ste 102, Southaven, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Robert Sterling Hollabaugh Jr attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1992
NPI Data:
- NPI Number: 1437117561
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658303615
- Enrollment ID: I20100908000247
Medical Identifiers
Medical identifiers for Robert Sterling Hollabaugh Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437117561 | NPI | - | NPPES |
| 97879 | Other | | BLUE CROSS AR |
| 13137372 | Other | | PHCS |
| 133261 | Other | | HEALTH LINK |
| 4025294 | Other | | AETNA |
| 0210025600 | Other | | QUAL CHOICE |
| 3823224 | Medicaid | TN | |
| 1201660 | Other | | FIRST HEALTH |
| 3095141 | Other | TN | BLUE CROSS |
| 4574106 | Other | | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 15804 (Mississippi) | Secondary |
| 208800000X | Urology | 30313 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Conrad Pearson Clinic Pc | 7315832649 | 17 |
| Conrad Pearson Clinic Pc | 7315832649 | 17 |
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 Sterling Hollabaugh Jr allows following entities to bill medicare on his behalf.
| Entity Name | Conrad Pearson Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992758882
PECOS PAC ID: 7315832649
Enrollment ID: O20040217000217 |
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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 Sterling Hollabaugh Jr 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 Sterling Hollabaugh Jr, MD
1325 Wolf Park Dr, Suite 103,
Germantown, TN 38138-1742
Ph: (901) 252-3411 | Robert Sterling Hollabaugh Jr, MD
125 Guthrie Dr Ste 102,
Southaven, MS 38671-5829
Ph: (662) 349-1964 |
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