Mr Robert Douglas Booth, PA-C - Medicare Physician Assistant in Memphis, TN

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Mr Robert Douglas Booth, PA-C is a medicare enrolled "Physician Assistant" in Memphis, Tennessee. His current practice location is 1265 Union Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 516-7600.

Mr Robert Douglas Booth is licensed to practice in Tennessee (license number 1459) 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 1548377518.

Contact Information

Mr Robert Douglas Booth, PA-C
1265 Union Ave,
Memphis, TN 38104-3415
(901) 516-7600
Not Available

Map and Direction




Provider's Profile

Full NameMr Robert Douglas Booth
GenderMale
SpecialityPhysician Assistant
Location1265 Union Ave, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548377518
  • Provider Enumeration Date: 08/24/2006
  • Last Update Date: 01/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9436182821
  • Enrollment ID: I20070725000621

Medical Identifiers

Medical identifiers for Mr Robert Douglas Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548377518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 127045 (Montana)Secondary
363A00000XPhysician Assistant 6889 (Arizona)Secondary
363A00000XPhysician Assistant 1666 (Maine)Secondary
363A00000XPhysician Assistant 399 (Arkansas)Secondary
363A00000XPhysician Assistant PA04555 (Texas)Secondary
363AM0700XPhysician Assistant - Medical PA1459 (Tennessee)Secondary
363AM0700XPhysician Assistant - Medical PA04555 (Texas)Secondary
363AM0700XPhysician Assistant - Medical PA00081 (Mississippi)Secondary
363A00000XPhysician Assistant 1459 (Tennessee)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. Mr Robert Douglas Booth allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Services P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669414264
PECOS PAC ID: 6204730195
Enrollment ID: O20031121000687
Entity NameT M Carr MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992706097
PECOS PAC ID: 3375504913
Enrollment ID: O20041026000787
Entity NameApp of Tennessee Ed PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NameCarr, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548677610
PECOS PAC ID: 1850512153
Enrollment ID: O20141030001974
Entity NameRadar Ems LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093375420
PECOS PAC ID: 8729318977
Enrollment ID: O20191001002166

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. Mr Robert Douglas Booth 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
Mr Robert Douglas Booth, PA-C
1698 Peach Ave,
Memphis, TN 38112-5216

Ph: (901) 830-8826		Mr Robert Douglas Booth, PA-C
1265 Union Ave,
Memphis, TN 38104-3415

Ph: (901) 516-7600

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.