Mr Robert Ryan Disotell, ANP in Texarkana, TX

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 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Integrated Care Professionals Llc, 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 Name	Mr Robert Ryan Disotell
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	2604 Saint Michael Dr Ste 340, Texarkana, Texas
Accepts Medicare Assignments	Yes. 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: I20120611000248

Medical Identifiers

Medical identifiers for Mr Robert Ryan Disotell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265798805	NPI	-	NPPES
A03684	Other	AR	LICENSE
1994	Other	TX	TX LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	A03684 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital Sulphur Springs	Sulphur springs, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrated Care Professionals Llc	8527200955	22
Access Telecare Pllc	7810204831	262

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 Name	Integrated Care Professionals Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164762662 PECOS PAC ID: 8527200955 Enrollment ID: O20130814000016

Entity Name	Icp Arkansas Aco Billing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679157838 PECOS PAC ID: 8820497886 Enrollment ID: O20210524001681

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 Address	Practice 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

Nurse Practitioner Nurses in Texarkana, TX

Sally A Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Rd, Texarkana, TX 75503 Phone: 903-791-9355 Fax: 903-831-7273
Virginia Ann Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Ms. Marla Kay English-pickett, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16060 Broadleaf, Texarkana, TX 75503 Phone: 903-838-0031
Laura L Jackson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Caleb Cain, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615
Ms. Michelle Cheri Craft, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 Moores Ln, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 833-491-2722
Jamie G Dodd, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615

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