Robert Bodhi, PA-C is a medicare enrolled "Physician Assistant" in Decaturville, Tennessee. His current practice location is
100 Running Deer Dr, Decaturville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 216-6327.
Robert Bodhi is licensed to practice in Tennessee (license number 2496) 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 1114345287.
Provider's Profile
Full Name | Robert Bodhi |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 100 Running Deer Dr, Decaturville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114345287
- Provider Enumeration Date: 04/04/2014
- Last Update Date: 02/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628292554
- Enrollment ID: I20140617000681
Medical Identifiers
Medical identifiers for Robert Bodhi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114345287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2496 (Tennessee) | Primary |
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 Bodhi 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 |
Robert Bodhi, PA-C 100 Running Deer Dr, Decaturville, TN 38329-5285 Ph: (865) 216-6327 | Robert Bodhi, PA-C 100 Running Deer Dr, Decaturville, TN 38329-5285 Ph: (865) 216-6327 |
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