Dr Bruce J Robertson, PHD in Green Bay, WI - Medicare Psychologist Provider

Dr Bruce J Robertson, PHD is a medicare enrolled "Psychologist" provider in Green Bay, Wisconsin. His current practice location is 2631 Packerland Dr, Suite 104-c, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 965-7701.

Dr Bruce J Robertson is licensed to practice in Wisconsin (license number 1992-057) 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 1396770434.

Contact Information

	Dr Bruce J Robertson, PHD
	2631 Packerland Dr, Suite 104-c, Green Bay, WI 54313-4130
	(920) 965-7701
	(920) 497-4956

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bruce J Robertson
Gender	Male
Speciality	Psychologist
Location	2631 Packerland Dr, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396770434
Provider Enumeration Date: 07/11/2006
Last Update Date: 09/12/2009

Medicare PECOS Information:

PECOS PAC ID: 2365344801
Enrollment ID: I20040123000918

Medical Identifiers

Medical identifiers for Dr Bruce J Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396770434	NPI	-	NPPES
39699400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1992-057 (Wisconsin)	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 Bruce J Robertson allows following entities to bill medicare on his behalf.

Entity Name	Jacob's Well Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609558485 PECOS PAC ID: 1456799006 Enrollment ID: O20240402003439

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 Bruce J Robertson 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 Bruce J Robertson, PHD 2631 Packerland Dr, Suite 104-c, Green Bay, WI 54313-4130 Ph: (920) 965-7701	Dr Bruce J Robertson, PHD 2631 Packerland Dr, Suite 104-c, Green Bay, WI 54313-4130 Ph: (920) 965-7701

Reviews and Comments

Psychologist in Green Bay, WI

Irma Catherine Smet, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705
Michael P Sayers, PH D Psychologist Medicare: Medicare Enrolled Practice Location: 2640 W Point Rd, Green Bay, WI 54304 Phone: 920-869-2711
Mr. William B Hitch, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 725 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7995 Fax: 920-433-3458
Dr. Katie Rollin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1160 Kepler Dr, Green Bay, WI 54311 Phone: 920-288-5500
Gabrielle Marie Rodriguez, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073 Fax: 920-431-0333
Brian J Cagle, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073
Dr. Bonnie Rae Nussbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 Velp Ave Ste 4-a, Green Bay, WI 54313 Phone: 920-884-7445 Fax: 920-844-7449

Dr Bruce J Robertson, PHD - Medicare Psychologist in Green Bay, WI