Dr Robert Glen Sickinger, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Vandalia, Ohio. His current practice location is
113 W National Rd, Vandalia, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 223-6837.
Dr Robert Glen Sickinger is licensed to practice in Ohio (license number 34.004355) 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 1740210277.
Physician's Profile
| Full Name | Dr Robert Glen Sickinger |
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| Gender | Male |
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| Speciality | Internal Medicine - Pulmonary Disease |
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| Location | 113 W National Rd, Vandalia, Ohio |
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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: 1740210277
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 11/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830360577
- Enrollment ID: I20110929000030
Medical Identifiers
Medical identifiers for Dr Robert Glen Sickinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740210277 | NPI | - | NPPES |
| 0827994 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 34.004355 (Ohio) | 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 Robert Glen Sickinger allows following entities to bill medicare on his behalf.
| Entity Name | Kettering Independent Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
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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. Dr Robert Glen Sickinger 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 Glen Sickinger, DO 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459-3823 Ph: (937) 223-6837 | Dr Robert Glen Sickinger, DO 113 W National Rd, Vandalia, OH 45377-1934 Ph: (937) 223-6837 |
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