Robert Nottingham, DO - Medicare Diagnostic Radiology in Jacksonville, FL

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Robert Nottingham, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jacksonville, Florida. He went to Lake Erie College Of Osteopathic Medicine, Bradenton and graduated in 2015 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Sonoran Radiology Ltd and his current practice location is 6801 Roosevelt Ave, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 542-2338.

Robert Nottingham is licensed to practice in Virginia (license number 0102204598) 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 1871983007.

Contact Information

Robert Nottingham, DO
6801 Roosevelt Ave,
Jacksonville, FL 32212
(904) 542-2338
Not Available

Map and Direction




Physician's Profile

Full NameRobert Nottingham
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
Location6801 Roosevelt Ave, Jacksonville, Florida
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 Nottingham attended and graduated from Lake Erie College Of Osteopathic Medicine, Bradenton in 2015
  NPI Data:
  • NPI Number: 1871983007
  • Provider Enumeration Date: 01/26/2015
  • Last Update Date: 12/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8527414622
  • Enrollment ID: I20231025004025

Medical Identifiers

Medical identifiers for Robert Nottingham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871983007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 0102204598 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Desert Medical CenterMesa, AZHospital
Banner Boswell Medical CenterSun city, AZHospital
Banner Del E. Webb Medical CenterSun city west, AZHospital
Banner Thunderbird Medical CenterGlendale, AZHospital
Banner Baywood Medical CenterMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sonoran Radiology Ltd3375964505386

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 Nottingham allows following entities to bill medicare on his behalf.
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20201110002097
Entity NameAssociated Valley Radiologists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932683257
PECOS PAC ID: 8325388499
Enrollment ID: O20221027002270
Entity NameBanner Imaging Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518713262
PECOS PAC ID: 1850724386
Enrollment ID: O20250123001806

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 Nottingham 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 Nottingham, DO
6801 Roosevelt Blvd,
Jacksonville, FL 32212-1192

Ph: (904) 542-2338		Robert Nottingham, DO
6801 Roosevelt Ave,
Jacksonville, FL 32212

Ph: (904) 542-2338

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.

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