Mr Robert Ryan Disotell, ANP - Medicare Nurse Practitioner in Texarkana, TX

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Mr Robert Ryan Disotell, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Texarkana, Texas. He graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice North Texas Physician Services, Pllc, Access Telecare Pllc and his current practice location is 2604 Saint Michael Dr Ste 340, Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 614-5117.

Mr Robert Ryan Disotell is licensed to practice in Arkansas (license number A03684) 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 1265798805.

Contact Information

Mr Robert Ryan Disotell, ANP
2604 Saint Michael Dr Ste 340,
Texarkana, TX 75503-2378
(903) 614-5117
Not Available

Map and Direction




Provider's Profile

Full NameMr Robert Ryan Disotell
GenderMale
SpecialityNurse Practitioner
Experience14 Years
Location2604 Saint Michael Dr Ste 340, Texarkana, Texas
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:
  • Mr Robert Ryan Disotell graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1265798805
  • Provider Enumeration Date: 04/09/2012
  • Last Update Date: 04/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9830353580
  • Enrollment ID: I20120628000671

Medical Identifiers

Medical identifiers for Mr Robert Ryan Disotell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265798805NPI-NPPES
A03684OtherARLICENSE
1994OtherTXTX LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health A03684 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Texas Physician Services, Pllc6305295429215
Access Telecare Pllc7810204831331

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 Ryan Disotell allows following entities to bill medicare on his behalf.
Entity NameShannon Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20061121000364
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021
Entity NameAccess Telecare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013303080
PECOS PAC ID: 7810204831
Enrollment ID: O20150923000991
Entity NameHospitalist Medicine Physicians Of Texas - Texarkana, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720623440
PECOS PAC ID: 9739516881
Enrollment ID: O20200302000606
Entity NameIcarepro Of Texas, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396193066
PECOS PAC ID: 2365811767
Enrollment ID: O20221207000144
Entity NameIcare Pro Of Texas Aco Billing Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568146561
PECOS PAC ID: 0143681940
Enrollment ID: O20230726001839
Entity NameNorth Texas Physician Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992586150
PECOS PAC ID: 6305295429
Enrollment ID: O20231213004113

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 Ryan Disotell 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 Ryan Disotell, ANP
202 Quail Ln,
Wake Village, TX 75501-5722

Ph: (870) 292-9960		Mr Robert Ryan Disotell, ANP
2604 Saint Michael Dr Ste 340,
Texarkana, TX 75503-2378

Ph: (903) 614-5117

Reviews and Comments


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Sally A Thompson, FNP-C
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Virginia Ann Parker, FNP
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Caleb Cain, APRN, FNP-C
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Ms. Michelle Cheri Craft, FNP-C
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Jamie G Dodd, AGACNP
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Phone: 430-200-4350    Fax: 866-337-1615

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.