Dr Robert Cook Roddenberry Jr, MD is a medicare enrolled "Surgery" physician in Spruce Pine, North Carolina. He went to Medical College Of Georgia School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mh Mission Hospital Mcdowell, Lllp and his current practice location is
189 Hospital Dr, Spruce Pine, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 766-3555.
Dr Robert Cook Roddenberry Jr is licensed to practice in North Carolina (license number 2017-01668) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952691891.
Physician's Profile
| Full Name | Dr Robert Cook Roddenberry Jr |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 14 Years |
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| Location | 189 Hospital Dr, Spruce Pine, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Robert Cook Roddenberry Jr attended and graduated from Medical College Of Georgia School Of Medicine in 2011
NPI Data:
- NPI Number: 1952691891
- Provider Enumeration Date: 04/12/2011
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597067181
- Enrollment ID: I20170929003246
Medical Identifiers
Medical identifiers for Dr Robert Cook Roddenberry Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952691891 | NPI | - | NPPES |
| NCY902A | Other | NC | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 2017-01668 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mh Mission Hospital Mcdowell, Lllp | 0345581856 | 39 |
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 Robert Cook Roddenberry Jr 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 Robert Cook Roddenberry Jr, MD 472 Rankin Dr, Marion, NC 28752-6568 Ph: (828) 659-5700 | Dr Robert Cook Roddenberry Jr, MD 189 Hospital Dr, Spruce Pine, NC 28777-3035 Ph: (828) 766-3555 |
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