Robert J Wylie, MD is a medicare enrolled "Orthopaedic Surgery" physician in Whiteriver, Arizona. His current practice location is
200 West Hospital Drive, Whiteriver, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 338-4911.
Robert J Wylie is licensed to practice in Arizona (license number 18644A) 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 1568436871.
Physician's Profile
| Full Name | Robert J Wylie |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 200 West Hospital Drive, Whiteriver, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568436871
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 01/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082632187
- Enrollment ID: I20060111000465
Medical Identifiers
Medical identifiers for Robert J Wylie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568436871 | NPI | - | NPPES |
| 241333500 | Other | | OWCP |
| 1629236716 | Medicaid | AZ | |
| 286254 | Medicaid | AZ | |
| 1780614008 | Medicaid | AZ | |
| AZ0342850 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| 1871523191 | Medicaid | AZ | |
| 1295993376 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 18644A (Arizona) | 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 J Wylie allows following entities to bill medicare on his behalf.
| Entity Name | Dhhs Ihs Phoenix Area |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427335140
PECOS PAC ID: 2668649567
Enrollment ID: O20120117000781 |
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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 J Wylie 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 J Wylie, MD
Po Box 860,
Whiteriver, AZ 85941-0860
Ph: (928) 338-4911 | Robert J Wylie, MD
200 West Hospital Drive,
Whiteriver, AZ 85941-0860
Ph: (928) 338-4911 |
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