Robert David Vichich, MD - Medicare Emergency Medicine in Louisville, KY

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Robert David Vichich, MD is a medicare enrolled "General Practice" physician in Louisville, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice The Emory Clinic Inc, Tele911 Texas Emergency Medical Group Pllc, Paragon Contracting Services Llc, Tele911 California Emergency Medical Group Inc, Mayo Clinic Health System-southwest Wisconsin Region Inc and his current practice location is 100 Mallard Creek Rd, Suite 406, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 895-4607.

Robert David Vichich is licensed to practice in Kentucky (license number 46956) 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 1780983569.

Contact Information

Robert David Vichich, MD
100 Mallard Creek Rd, Suite 406,
Louisville, KY 40207-4194
(502) 895-4607
(502) 895-4586

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Physician's Profile

Full NameRobert David Vichich
GenderMale
SpecialityEmergency Medicine
Experience14 Years
Location100 Mallard Creek Rd, Louisville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert David Vichich attended and graduated from University Of Louisville School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1780983569
  • Provider Enumeration Date: 03/20/2011
  • Last Update Date: 09/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517117278
  • Enrollment ID: I20180111000840

Medical Identifiers

Medical identifiers for Robert David Vichich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780983569NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice C1-0024077 (Delaware)Secondary
208D00000XGeneral Practice MC-0725 (Idaho)Secondary
207P00000XEmergency Medicine 37429 (Oklahoma)Secondary
207P00000XEmergency Medicine 01073793A (Indiana)Secondary
208D00000XGeneral Practice 84940 (South Carolina)Secondary
208D00000XGeneral Practice 20451 (Nevada)Secondary
208D00000XGeneral Practice 30133 (West Virginia)Secondary
208D00000XGeneral Practice 13120C (Wyoming)Secondary
208D00000XGeneral Practice 28281 (Mississippi)Secondary
207Q00000XFamily Medicine 1038 (Wisconsin)Secondary
208D00000XGeneral Practice DR.0065155 (Colorado)Secondary
208D00000XGeneral Practice 46956 (Kentucky)Primary
207P00000XEmergency Medicine ME146686 (Florida)Secondary
208D00000XGeneral Practice 12317 (South Dakota)Secondary
208D00000XGeneral Practice 25MA10949500 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory University Hospital MidtownAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Emory Clinic Inc88209014083084
Tele911 Texas Emergency Medical Group Pllc610321783110
Paragon Contracting Services Llc3971417825298
Tele911 California Emergency Medical Group Inc721433949816
Mayo Clinic Health System-southwest Wisconsin Region Inc0345152443458

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 Vichich allows following entities to bill medicare on his behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameEmory Medical Care Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968
Entity NameEmory Specialty Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447
Entity NameThe Bortolazzo Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015

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 Vichich 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 AddressPractice Location Address
Robert David Vichich, MD
100 Mallard Creek Rd, Suite 406,
Louisville, KY 40207-4194

Ph: (859) 492-0285		Robert David Vichich, MD
100 Mallard Creek Rd, Suite 406,
Louisville, KY 40207-4194

Ph: (502) 895-4607

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.