| Brian Todd Robertson, DO | |
|
36 Medical Plz Ste 1a, Hanover, IN 47243-9481 | |
| (812) 866-3301 | |
| (812) 866-3327 |
| Full Name | Brian Todd Robertson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 36 Medical Plz Ste 1a, Hanover, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023544749 | NPI | - | NPPES |
| 7100544410 | Medicaid | KY | |
| 300037404 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 02005964A (Indiana) | Primary |
| 207R00000X | Internal Medicine | R4511 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Jeffersonville, IN | Home health agency |
| Caretenders | New albany, IN | Home health agency |
| King's Daughters' Health | Madison, IN | Hospital |
| Scott Memorial Health | Scottsburg, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical Associates Inc | 7012811284 | 1310 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
| Entity Name | Norton - Kings Daughters Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Todd Robertson, DO Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Brian Todd Robertson, DO 36 Medical Plz Ste 1a, Hanover, IN 47243-9481 Ph: (812) 866-3301 |
Thomas Allen Barley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 36 Medical Plz, Hanover, IN 47243 Phone: 812-866-3301 |