Destiny D Robertson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Goldsby, Oklahoma. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice L4 Clinical Management Llc and her current practice location is
117 Cotton Field Rd Ste C, Goldsby, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 307-1000.
Destiny D Robertson is licensed to practice in Oklahoma (license number 4596) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629645015.
Provider's Profile
| Full Name | Destiny D Robertson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 117 Cotton Field Rd Ste C, Goldsby, Oklahoma |
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| Accepts Medicare Assignments | Yes. She 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:
- Destiny D Robertson graduated from nursing school in 2021
NPI Data:
- NPI Number: 1629645015
- Provider Enumeration Date: 06/05/2021
- Last Update Date: 02/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789084757
- Enrollment ID: I20210611002608
Medical Identifiers
Medical identifiers for Destiny D Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629645015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 4596 (Oklahoma) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Onecore Health | Oklahoma city, OK | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| L4 Clinical Management Llc | 7315230364 | 3 |
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. Destiny D Robertson 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 |
|---|
Destiny D Robertson, PA-C
Po Box 1330,
Norman, OK 73070-1330
Ph: (405) 307-1000 | Destiny D Robertson, PA-C
117 Cotton Field Rd Ste C,
Goldsby, OK 73093-5061
Ph: (405) 307-1000 |
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