Bobby Tolosa, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Kendallville, Indiana. His current practice location is
420 N Sawyer Rd, Kendallville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 347-8030.
Bobby Tolosa is licensed to practice in Indiana (license number 01078773A) 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 1871529024.
Physician's Profile
| Full Name | Bobby Tolosa |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 420 N Sawyer Rd, Kendallville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871529024
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 03/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 8224050828
- Enrollment ID: I20170912000790
Medical Identifiers
Medical identifiers for Bobby Tolosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871529024 | NPI | - | NPPES |
| 10025323300 | Medicaid | NE | |
| 2169730 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 32336 (Iowa) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 20152 (Nebraska) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 01078773A (Indiana) | 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. Bobby Tolosa allows following entities to bill medicare on his behalf.
| Entity Name | Parkview Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
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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. Bobby Tolosa 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 |
Bobby Tolosa, MD 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 Ph: () - | Bobby Tolosa, MD 420 N Sawyer Rd, Kendallville, IN 46755-2572 Ph: (260) 347-8030 |
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