Dr Robert Purtock, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Waukesha, Wisconsin. He went to Medical College Of Wisconsin and graduated in 1980 and has 44 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Anex, S.c. and his current practice location is
725 American Ave, Waukesha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 544-2011.
Dr Robert Purtock is licensed to practice in Wisconsin (license number 23846) 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 1992789390.
Physician's Profile
| Full Name | Dr Robert Purtock |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 44 Years |
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| Location | 725 American Ave, Waukesha, Wisconsin |
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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 Purtock attended and graduated from Medical College Of Wisconsin in 1980
NPI Data:
- NPI Number: 1992789390
- Provider Enumeration Date: 11/30/2005
- Last Update Date: 04/04/2012
Medicare PECOS Information:
- PECOS PAC ID: 1658267745
- Enrollment ID: I20040429000192
Medical Identifiers
Medical identifiers for Dr Robert Purtock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992789390 | NPI | - | NPPES |
| 050064171 | Other | | RAIL ROAD MEDICARE |
| 30487900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 23846-020 (Wisconsin) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 23846 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Anex, S.c. | 4486540556 | 38 |
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 Purtock allows following entities to bill medicare on his behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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| Entity Name | Anex, S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578510632
PECOS PAC ID: 4486540556
Enrollment ID: O20040225000719 |
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| Entity Name | Professional Pain Management Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790964435
PECOS PAC ID: 2062588148
Enrollment ID: O20080915000294 |
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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 Purtock 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 Purtock, MD
225 S Executive Dr,
Brookfield, WI 53005-4266
Ph: (262) 787-4026 | Dr Robert Purtock, MD
725 American Ave,
Waukesha, WI 53188-5031
Ph: (262) 544-2011 |
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