Robert Ealey, is a medicare enrolled "Nurse Practitioner - Family" in Palmer Township, Pennsylvania. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lehigh Valley Physician Group and his current practice location is
3701 Corriere Rd Ste 14, Palmer Township, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 591-7010.
Robert Ealey is licensed to practice in Pennsylvania (license number SP028543) 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 1205619152.
Provider's Profile
| Full Name | Robert Ealey |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 3701 Corriere Rd Ste 14, Palmer Township, Pennsylvania |
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| 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:
- Robert Ealey graduated from nursing school in 2023
NPI Data:
- NPI Number: 1205619152
- Provider Enumeration Date: 08/15/2023
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375992761
- Enrollment ID: I20231211001886
Medical Identifiers
Medical identifiers for Robert Ealey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205619152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | SP028543 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lehigh Valley Physician Group | 3072425123 | 2138 |
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. Robert Ealey allows following entities to bill medicare on his behalf.
| Entity Name | Family Care Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
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| Entity Name | Lehigh Valley Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
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| Entity Name | Schuylkill Health System Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
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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 Ealey 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 Ealey, 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Robert Ealey, 3701 Corriere Rd Ste 14, Palmer Township, PA 18045-7991 Ph: (484) 591-7010 |
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