Robert David Madoff, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Minneapolis, Minnesota. His current practice location is
909 Fulton St Se, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 672-7422.
Robert David Madoff is licensed to practice in Minnesota (license number 25693) 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 1023191590.
Physician's Profile
| Full Name | Robert David Madoff |
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| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 909 Fulton St Se, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023191590
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 07/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 9032007596
- Enrollment ID: I20050310000043
Medical Identifiers
Medical identifiers for Robert David Madoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023191590 | NPI | - | NPPES |
| 564R3MA | Other | MN | BLUE CROSS BLUE SHIELD |
| 100426 | Other | | UCARE |
| 0013003 | Other | | PREFERRED ONE |
| 14-00074 | Other | | MEDICA CHOICE |
| 841062300 | Medicaid | MN | |
| 24924 | Other | | ARAZ |
| 14-00004 | Other | | MEDICA PRIMARY |
| HP13891 | Other | | HEALTH PARTNERS |
| 0075089 | Medicaid | MT | |
| 0582528 | Medicaid | IA | |
| 31621700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208C00000X | Colon & Rectal Surgery | 25693 (Minnesota) | 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. Robert David Madoff allows following entities to bill medicare on his behalf.
| Entity Name | Fairview Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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| Entity Name | Fairview Express Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
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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. Robert David Madoff 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 |
Robert David Madoff, MD 909 Fulton St Se, Minneapolis, MN 55455-4800 Ph: (612) 672-7422 | Robert David Madoff, MD 909 Fulton St Se, Minneapolis, MN 55455 Ph: (612) 672-7422 |
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