Dr Randolph Harlen Robertson, MD in Fort Wayne, IN

Dr Randolph Harlen Robertson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Wayne, Indiana. His current practice location is 6119 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 432-1568.

Dr Randolph Harlen Robertson is licensed to practice in Tennessee (license number 18129) 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 1164448239.

Contact Information

	Dr Randolph Harlen Robertson, MD
	6119 W Jefferson Blvd, Fort Wayne, IN 46804-3072
	(260) 432-1568
	(260) 432-4969

Map and Direction

Physician's Profile

Full Name	Dr Randolph Harlen Robertson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	6119 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164448239
Provider Enumeration Date: 07/14/2006
Last Update Date: 02/15/2016

Medicare PECOS Information:

PECOS PAC ID: 1658448220
Enrollment ID: I20080924000363

Medical Identifiers

Medical identifiers for Dr Randolph Harlen Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164448239	NPI	-	NPPES
0050269	Medicaid	OH
300114288	Other	TN	RAILROAD MEDICARE
3037577	Medicaid	TN
3156107	Other	TN	BCBS
201023920	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	18129 (Tennessee)	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 Randolph Harlen Robertson allows following entities to bill medicare on his behalf.

Entity Name	Cumberland Imaging Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437279262 PECOS PAC ID: 4284735051 Enrollment ID: O20070723000898

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 Randolph Harlen 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 Randolph Harlen Robertson, MD 142 W 5th St, Cookeville, TN 38501-1760 Ph: (931) 528-2541	Dr Randolph Harlen Robertson, MD 6119 W Jefferson Blvd, Fort Wayne, IN 46804-3072 Ph: (260) 432-1568

Reviews and Comments

Radiology Doctors in Fort Wayne, IN

Dr. Benjamin Jon Moreno, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-469-6602 Fax: 260-484-5919
Dr. Andre Byard Stovall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969
Dr. Christopher Edson Carrel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 604-696-6022 Fax: 616-363-7290
Dr. Gregg R Mattison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3707 New Vision Drive, Fort Wayne, IN 46895 Phone: 260-471-9466 Fax: 260-484-5919
Christopher M Wing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-471-9466 Fax: 260-484-5919
Dr. Ahdy Messiha, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-1568 Fax: 260-432-4969
Vivek K. Sharma, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969

Dr Randolph Harlen Robertson, MD - Medicare Radiology in Fort Wayne, IN