Robert Bodhi, PA-C is a
Physician Assistant based in Decaturville, Tennessee. Robert Bodhi is licensed to practice in Tennessee (license number 2496) and his current practice location is
100 Running Deer Dr, Decaturville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(865) 216-6327.
NPI number for Robert Bodhi is 1114345287 and his current mailing address is 100 Running Deer Dr, Decaturville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114345287.
Provider's Profile
| Full Name | Robert Bodhi |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 100 Running Deer Dr, Decaturville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114345287
- Provider Enumeration Date: 04/04/2014
- Last Update Date: 02/25/2022
Medical Identifiers
Medical identifiers for Robert Bodhi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114345287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2496 (Tennessee) | Primary |
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 Bodhi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert Bodhi, PA-C
100 Running Deer Dr,
Decaturville, TN 38329-5285
Ph: (865) 216-6327 | Robert Bodhi, PA-C
100 Running Deer Dr,
Decaturville, TN 38329-5285
Ph: (865) 216-6327 |
Reviews and Comments