Dr Robert Noyes Etheridge, MD is a medicare enrolled "Family Medicine" physician in Pinewood, South Carolina. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tandem Health Sc and his current practice location is
25 E Clark St, Pinewood, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 774-4500.
Dr Robert Noyes Etheridge is licensed to practice in South Carolina (license number 40082) 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 1588007603.
Physician's Profile
| Full Name | Dr Robert Noyes Etheridge |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 11 Years |
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| Location | 25 E Clark St, Pinewood, South 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. |
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Medical Education and Training:
- Dr Robert Noyes Etheridge graduated from medical school in 2013
NPI Data:
- NPI Number: 1588007603
- Provider Enumeration Date: 04/08/2013
- Last Update Date: 10/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 8729213368
- Enrollment ID: I20161026001062
Medical Identifiers
Medical identifiers for Dr Robert Noyes Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588007603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 40082 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tandem Health Sc | 3870575855 | 27 |
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 Noyes Etheridge allows following entities to bill medicare on his behalf.
| Entity Name | Tandem Health Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386630192
PECOS PAC ID: 3870575855
Enrollment ID: O20040603000514 |
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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 Noyes Etheridge 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 |
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Dr Robert Noyes Etheridge, MD
25 E Clark St,
Pinewood, SC 29125-8989
Ph: (803) 774-4500 | Dr Robert Noyes Etheridge, MD
25 E Clark St,
Pinewood, SC 29125-8989
Ph: (803) 774-4500 |
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