Robert Kabakjian Sr, PA-C is a medicare enrolled "Physician Assistant" in Lugoff, South Carolina. His current practice location is
15 Exchange Dr, Lugoff, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 408-3277.
Robert Kabakjian Sr is licensed to practice in South Carolina (license number PA606) 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 1861499618.
Provider's Profile
| Full Name | Robert Kabakjian Sr |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 15 Exchange Dr, Lugoff, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861499618
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 05/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 8628118262
- Enrollment ID: I20130103000220
Medical Identifiers
Medical identifiers for Robert Kabakjian Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861499618 | NPI | - | NPPES |
| 1551PA | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA06494 (Texas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | TL606 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | PA606 (South Carolina) | 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. Robert Kabakjian Sr allows following entities to bill medicare on his behalf.
| Entity Name | South Carolina Ent Allergy & Sleep Medicine PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134153083
PECOS PAC ID: 0840214748
Enrollment ID: O20060118000755 |
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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 Kabakjian Sr 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 Kabakjian Sr, PA-C
15 Exchange Dr,
Lugoff, SC 29078-9198
Ph: (803) 408-3277 | Robert Kabakjian Sr, PA-C
15 Exchange Dr,
Lugoff, SC 29078-9198
Ph: (803) 408-3277 |
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