Robert Layne Eaton, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Chunchula, Alabama. His current practice location is
3295 Orion Path, Chunchula, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 454-2623.
Robert Layne Eaton is licensed to practice in Mississippi (license number 902545) 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 1215413174.
Provider's Profile
| Full Name | Robert Layne Eaton |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 3295 Orion Path, Chunchula, Alabama |
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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: 1215413174
- Provider Enumeration Date: 07/13/2018
- Last Update Date: 07/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 7810385085
- Enrollment ID: I20211021001514
Medical Identifiers
Medical identifiers for Robert Layne Eaton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215413174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2100X | Nurse Practitioner - Acute Care | 9483320 (Florida) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 902545 (Mississippi) | 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 Layne Eaton allows following entities to bill medicare on his behalf.
| Entity Name | Dynamic Pain & Wellness Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285007989 PECOS PAC ID: 8527364058 Enrollment ID: O20181012001431 |
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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 Layne Eaton 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 Layne Eaton, ACNPC-AG 3295 Orion Path, Chunchula, AL 36521-6249 Ph: (251) 454-2623 | Robert Layne Eaton, ACNPC-AG 3295 Orion Path, Chunchula, AL 36521-6249 Ph: (251) 454-2623 |
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