Robert M Macaulay, MD - Medicare Pathology in Glenwood Spgs, CO

Robert M Macaulay, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Glenwood Spgs, Colorado. He went to Warren Alpert Medical School Of Brown University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 1906 Blake Ave, Glenwood Spgs, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 945-6535.

Robert M Macaulay is licensed to practice in Colorado (license number 35978) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1508846908.

Contact Information

Robert M Macaulay, MD
1906 Blake Ave,
Glenwood Spgs, CO 81601-4227
(970) 945-6535
Not Available

Map and Direction




Physician's Profile

Full NameRobert M Macaulay
GenderMale
SpecialityPathology
Experience32 Years
Location1906 Blake Ave, Glenwood Spgs, Colorado
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert M Macaulay attended and graduated from Warren Alpert Medical School Of Brown University in 1992
  NPI Data:
  • NPI Number: 1508846908
  • Provider Enumeration Date: 01/20/2006
  • Last Update Date: 07/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1456489434
  • Enrollment ID: I20220822002660

Medical Identifiers

Medical identifiers for Robert M Macaulay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508846908NPI-NPPES
PA636752OtherBLUE CROSS
ZZ0001276OtherRAILROAD MEDICARE
01359785MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 35978 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hosp So SacramentoSacramento, CAHospital
Valley View Hospital AssociationGlenwood springs, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102257800

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 M Macaulay allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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 M Macaulay 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 M Macaulay, MD
Po Box 2725,
Glenwood Spgs, CO 81602-2725

Ph: (970) 945-1443
Robert M Macaulay, MD
1906 Blake Ave,
Glenwood Spgs, CO 81601-4227

Ph: (970) 945-6535

Reviews and Comments


Pathology Doctors in Glenwood Spgs, CO

Jerry S Steinbrecher, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1906 Blake Ave, Glenwood Spgs, CO 81601
Phone: 970-945-6535    
George F Holmes, MD
Pathology
Medicare: May Accept Medicare Assignments
Practice Location: 1906 Blake Ave, Glenwood Spgs, CO 81601
Phone: 970-384-7607    Fax: 970-947-8811

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.