Kevin Clark Robertson, PA - Medicare Physician Assistant in El Segundo, CA

Kevin Clark Robertson, PA is a medicare enrolled "Physician Assistant" in El Segundo, California. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Peachtree Orthopaedic Clinic Pa and his current practice location is 125 Eucalyptus Dr, El Segundo, California. You can reach out to his office (for appointments etc.) via phone at (310) 322-4278.

Kevin Clark Robertson is licensed to practice in California (license number PA17110) 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 1295955441.

Contact Information

Kevin Clark Robertson, PA
125 Eucalyptus Dr,
El Segundo, CA 90245-3839
(310) 322-4278
(310) 322-6660

Map and Direction




Provider's Profile

Full NameKevin Clark Robertson
GenderMale
SpecialityPhysician Assistant
Experience21 Years
Location125 Eucalyptus Dr, El Segundo, California
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:
  • Kevin Clark Robertson graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1295955441
  • Provider Enumeration Date: 04/30/2007
  • Last Update Date: 08/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1355239153
  • Enrollment ID: I20210225002146

Medical Identifiers

Medical identifiers for Kevin Clark Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295955441NPI-NPPES
PA17110OtherCAMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA17110 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital ForsythCumming, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peachtree Orthopaedic Clinic Pa4587552963124

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. Kevin Clark Robertson 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
Kevin Clark Robertson, PA
444 S San Vicente Blvd, Suite 800,
Los Angeles, CA 90048

Ph: (310) 423-9716
Kevin Clark Robertson, PA
125 Eucalyptus Dr,
El Segundo, CA 90245-3839

Ph: (310) 322-4278

Reviews and Comments


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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.