Dr Robert Woodruff Dpm Pa is a medicare enrolled "Podiatrist - Foot Surgery" provider in Bolton, Mississippi. Their current practice location is
1055 Hubb Rd, Bolton, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(601) 506-7400.
Dr Robert Woodruff Dpm Pa is licensed to practice in Mississippi (license number 80102) and it also participates in the medicare program. Dr Robert Woodruff Dpm Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083882385.
Healthcare Provider's Profile
| Full Name | Dr Robert Woodruff Dpm Pa |
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| Type | Facility |
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| Speciality | Podiatrist - Foot Surgery |
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| Location | 1055 Hubb Rd, Bolton, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083882385
- Provider Enumeration Date: 02/20/2008
- Last Update Date: 09/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092894261
- Enrollment ID: O20080430000267
Medical Identifiers
Medical identifiers for Dr Robert Woodruff Dpm Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083882385 | NPI | - | NPPES |
| 0110072 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | 80102 (Mississippi) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dr Robert Woodruff Dpm Pa acts as a billing entity for following providers:
| Provider Name | Robert Woodruff |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1336220177
PECOS PAC ID: 9436129327
Enrollment ID: I20040728000993 |
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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 Woodruff Dpm Pa 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 Woodruff Dpm Pa
1055 Hubb Rd,
Bolton, MS 39041-8500
Ph: (601) 506-7400 | Dr Robert Woodruff Dpm Pa
1055 Hubb Rd,
Bolton, MS 39041-8500
Ph: (601) 506-7400 |
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