Robert William Roethel, PA - Medicare Physician Assistant in Valdosta, GA

Robert William Roethel, PA is a medicare enrolled "Physician Assistant - Surgical" in Valdosta, Georgia. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Hughston Clinic Pc and his current practice location is 4340 Kings Way, Valdosta, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 333-9736.

Robert William Roethel is licensed to practice in Georgia (license number 9762) 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 1457971921.

Contact Information

Robert William Roethel, PA
4340 Kings Way,
Valdosta, GA 31602-6921
(229) 333-9736
(478) 353-1170

Map and Direction




Provider's Profile

Full NameRobert William Roethel
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location4340 Kings Way, Valdosta, Georgia
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:
  • Robert William Roethel graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1457971921
  • Provider Enumeration Date: 04/24/2020
  • Last Update Date: 11/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769803840
  • Enrollment ID: I20200527002161

Medical Identifiers

Medical identifiers for Robert William Roethel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457971921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 9762 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cook Medical Center A Campus Of Tift Reg Med CtrAdel, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hughston Clinic Pc135525478099

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 William Roethel 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
Robert William Roethel, PA
Po Box 370,
Fortson, GA 31808-0370

Ph: () -
Robert William Roethel, PA
4340 Kings Way,
Valdosta, GA 31602-6921

Ph: (229) 333-9736

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.