Robert Decolli Iii, CRNP in Germantown, TN - Medicare Nurse Practitioner

Robert Decolli Iii, CRNP is a medicare enrolled "Nurse Practitioner" in Germantown, Tennessee. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Specialty Physician Group Llc, Specialty Physician Group Llc and his current practice location is 7460 Wolf River Blvd, Germantown, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 763-0200.

Robert Decolli Iii is licensed to practice in Tennessee (license number 31566) 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 1558993279.

Contact Information

	Robert Decolli Iii, CRNP
	7460 Wolf River Blvd, Germantown, TN 38138-1760
	(901) 763-0200
	(901) 761-4002

Map and Direction

Provider's Profile

Full Name	Robert Decolli Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	7460 Wolf River Blvd, Germantown, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Robert Decolli Iii graduated from nursing school in 2019

NPI Data:

NPI Number: 1558993279
Provider Enumeration Date: 02/11/2020
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 4880022771
Enrollment ID: I20220629003209

Medical Identifiers

Medical identifiers for Robert Decolli Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558993279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP021499 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	906328 (Mississippi)	Secondary
363L00000X	Nurse Practitioner	31566 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Healthcare Memphis Hospitals	Memphis, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Specialty Physician Group Llc	9537291323	93
Specialty Physician Group Llc	9537291323	93

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 Decolli Iii allows following entities to bill medicare on his behalf.

Entity Name	Methodist Inpatient Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609850692 PECOS PAC ID: 1254241235 Enrollment ID: O20050815000700

Entity Name	Specialty Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174842181 PECOS PAC ID: 9537291323 Enrollment ID: O20100714000297

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 Decolli Iii 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 Decolli Iii, CRNP 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: () -	Robert Decolli Iii, CRNP 7460 Wolf River Blvd, Germantown, TN 38138-1760 Ph: (901) 763-0200

Reviews and Comments

Nurse Practitioner Nurses in Germantown, TN

Lisa D Beasley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8040 Wolf River Blvd, Suite 200, Germantown, TN 38138 Phone: 901-414-0017
Brenda S Cole, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P. C., Germantown, TN 38138 Phone: 901-763-0200 Fax: 901-260-1713
Mrs. Mary K Simpson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7715 Wolf River Blvd, Germantown, TN 38138 Phone: 901-328-6031 Fax: 901-328-6035
Cynthia Denise Bedford, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-1290 Fax: 901-516-1220
Ashley Marsh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-756-0196
Kelli Chase Gill, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7600 Wolf River Blvd Ste 120, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-682-1362
Hannah Case, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6799 Great Oaks Rd Ste 105, Germantown, TN 38138 Phone: 901-821-8300

Robert Decolli Iii, CRNP - Medicare Nurse Practitioner in Germantown, TN