Dr Robert Payne Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairlawn, Ohio. His current practice location is
3557 Embassy Pkwy, Fairlawn, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 670-1005.
Dr Robert Payne Iii is licensed to practice in Ohio (license number 143038) 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 1992402960.
Provider's Profile
| Full Name | Dr Robert Payne Iii |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 3557 Embassy Pkwy, Fairlawn, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1992402960
- Provider Enumeration Date: 02/10/2023
- Last Update Date: 05/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143681213
- Enrollment ID: I20230804003537
Medical Identifiers
Medical identifiers for Dr Robert Payne Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992402960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 452066 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 143038 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 143038 (Ohio) | 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. Dr Robert Payne Iii allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1588645188
PECOS PAC ID: 6901700640
Enrollment ID: O20031124000399 |
|---|
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. Dr Robert Payne 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 |
|---|
Dr Robert Payne Iii, CRNA
5024 Lake Forest Dr,
Peninsula, OH 44264-9584
Ph: (614) 603-3726 | Dr Robert Payne Iii, CRNA
3557 Embassy Pkwy,
Fairlawn, OH 44333-8358
Ph: (330) 670-1005 |
Reviews and Comments