Dr James Wallace Robertson, MD in Traverse City, MI

Dr James Wallace Robertson, MD is a medicare enrolled "Pediatrics" physician in Traverse City, Michigan. His current practice location is 5024 N Royal Dr, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 935-0555.

Dr James Wallace Robertson is licensed to practice in Michigan (license number 4301065685) 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 1457357832.

Contact Information

	Dr James Wallace Robertson, MD
	5024 N Royal Dr, Traverse City, MI 49684-9230
	(231) 935-0555
	(231) 935-0562

Map and Direction

Physician's Profile

Full Name	Dr James Wallace Robertson
Gender	Male
Speciality	Pediatrics
Location	5024 N Royal Dr, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457357832
Provider Enumeration Date: 06/22/2005
Last Update Date: 12/24/2020

Medicare PECOS Information:

PECOS PAC ID: 5496934234
Enrollment ID: I20110125000889

Medical Identifiers

Medical identifiers for Dr James Wallace Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457357832	NPI	-	NPPES
1065685	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301065685 (Michigan)	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 James Wallace Robertson allows following entities to bill medicare on his behalf.

Entity Name	Helen Newberry Joy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972650935 PECOS PAC ID: 5799671285 Enrollment ID: O20040317000546

Entity Name	Munson Healthcare Grayling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710383351 PECOS PAC ID: 2062736655 Enrollment ID: O20150326000110

Entity Name	Kids Creek Childrens Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649291832 PECOS PAC ID: 2264977693 Enrollment ID: O20240710002546

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 James Wallace 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 James Wallace Robertson, MD 5024 N Royal Dr, Traverse City, MI 49684-9230 Ph: (231) 935-0555	Dr James Wallace Robertson, MD 5024 N Royal Dr, Traverse City, MI 49684-9230 Ph: (231) 935-0555

Reviews and Comments

Pediatrics Doctors in Traverse City, MI

Dr. Jelanie Rae Bush, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3537 W Front St, Suite G, Traverse City, MI 49684 Phone: 231-935-8822 Fax: 231-935-8837
Cynthia Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5024 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-0555 Fax: 231-935-0562
Dr. Claire Ward, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 447 Munson Ave, Traverse City, MI 49686 Phone: 231-929-9090 Fax: 231-929-9092
Dr. Lisa Chimner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3537 W Front St Ste G, Traverse City, MI 49684 Phone: 231-935-8822 Fax: 231-935-8837
Dr. Benjamin Hazen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4020 W Royal Dr, Traverse City, MI 49684 Phone: 231-421-8099
Jacques Burgess, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-5000 Fax: 231-346-6017
Dr. Andrew David Tursman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3537 W Front St, Ste G, Traverse City, MI 49684 Phone: 231-935-8822 Fax: 231-935-8837

Dr James Wallace Robertson, MD - Medicare Pediatrics in Traverse City, MI