Robert W Killebrew, DPT is a medicare enrolled "Physical Therapist" physician in Oceanside, California. His current practice location is
1828 Oceanside Blvd, Oceanside, California. You can reach out to his office (for appointments etc.) via phone at
(844) 316-7979.
Robert W Killebrew is licensed to practice in California (license number 301735) 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 1700380763.
Physician's Profile
| Full Name | Robert W Killebrew |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 1828 Oceanside Blvd, Oceanside, California |
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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: 1700380763
- Provider Enumeration Date: 03/22/2018
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618222928
- Enrollment ID: I20180608001401
Medical Identifiers
Medical identifiers for Robert W Killebrew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700380763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 1277699 (Texas) | Secondary |
| 225100000X | Physical Therapist | 301735 (California) | 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 W Killebrew allows following entities to bill medicare on his behalf.
| Entity Name | Salto Angel Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1538948138
PECOS PAC ID: 5193176949
Enrollment ID: O20240105003529 |
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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 W Killebrew 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 W Killebrew, DPT
7525 Metropolitan Dr Ste 306,
San Diego, CA 92108-4404
Ph: (844) 316-7979 | Robert W Killebrew, DPT
1828 Oceanside Blvd,
Oceanside, CA 92054-3452
Ph: (844) 316-7979 |
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