Mr Robert Lloyd Van Brederode, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Spruce Pine, North Carolina. He went to Temple University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Alta Ridge Foot Specialists, Pllc and his current practice location is
537 Altapass Hwy, Spruce Pine, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 766-7667.
Mr Robert Lloyd Van Brederode is licensed to practice in North Carolina (license number 479) 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 1871590554.
Healthcare Provider's Profile
| Full Name | Mr Robert Lloyd Van Brederode |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 24 Years |
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| Location | 537 Altapass Hwy, Spruce Pine, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Robert Lloyd Van Brederode attended and graduated from Temple University School Of Medicine in 2000
NPI Data:
- NPI Number: 1871590554
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 12/23/2009
Medicare PECOS Information:
- PECOS PAC ID: 2668370057
- Enrollment ID: I20031223000066
Medical Identifiers
Medical identifiers for Mr Robert Lloyd Van Brederode such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871590554 | NPI | - | NPPES |
| 050159 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 479 (North Carolina) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 479 (North Carolina) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Alta Ridge Foot Specialists, Pllc | 2163571258 | 4 |
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. Mr Robert Lloyd Van Brederode allows following entities to bill medicare on his behalf.
| Provider Name | Alta Ridge Foot Specialists, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891935821
PECOS PAC ID: 2163571258
Enrollment ID: O20090520000239 |
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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. Mr Robert Lloyd Van Brederode 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 |
|---|
Mr Robert Lloyd Van Brederode, DPM
537 Altapass Hwy,
Spruce Pine, NC 28777-3001
Ph: (828) 766-7667 | Mr Robert Lloyd Van Brederode, DPM
537 Altapass Hwy,
Spruce Pine, NC 28777-3001
Ph: (828) 766-7667 |
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