Cody Robertson, in Newberry, SC - Medicare Family Medicine

Cody Robertson, is a medicare enrolled "Family Medicine" physician in Newberry, South Carolina. His current practice location is 2605 Kinard St, Newberry, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 405-1900.

Cody Robertson is licensed to practice in South Carolina (license number 84922) 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 1225560675.

Contact Information

	Cody Robertson,
	2605 Kinard St, Newberry, SC 29108-2967
	(803) 405-1900
	(803) 405-1919

Map and Direction

Physician's Profile

Full Name	Cody Robertson
Gender	Male
Speciality	Family Medicine
Location	2605 Kinard St, Newberry, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225560675
Provider Enumeration Date: 04/03/2017
Last Update Date: 03/28/2025

Medicare PECOS Information:

PECOS PAC ID: 7517239676
Enrollment ID: I20200923003283

Medical Identifiers

Medical identifiers for Cody Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225560675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	84922 (South Carolina)	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. Cody Robertson allows following entities to bill medicare on his behalf.

Entity Name	Self Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071

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. Cody 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
Cody Robertson, 2605 Kinard St, Newberry, SC 29108-2967 Ph: (803) 405-1900	Cody Robertson, 2605 Kinard St, Newberry, SC 29108-2967 Ph: (803) 405-1900

Reviews and Comments

Family Medicine Doctors in Newberry, SC

John W. Green, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2562 Kinard St, Newberry, SC 29108 Phone: 803-276-6689
Dr. William H Cantey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2660 Kinard St, Newberry, SC 29108 Phone: 803-597-5225
Mary Elizabeth Little, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2605 Kinard St Ste 200, Newberry, SC 29108 Phone: 803-405-1900 Fax: 803-405-1919
Dr. Michael Jerome Bernardo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1109 Wilson St, Newberry, SC 29108 Phone: 803-321-3035 Fax: 803-321-3034
Dr. Jorge O Garcia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2531 Evans St, Suite A, Newberry, SC 29108 Phone: 803-276-7978 Fax: 803-675-9986
Mark Little, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2605 Kinard St Ste 200, Newberry, SC 29108 Phone: 803-405-1900 Fax: 803-405-1919

Cody Robertson, - Medicare Family Medicine in Newberry, SC