Robert O Kessack Iii, PA is a medicare enrolled "Physician Assistant" in Pierson, Florida. His current practice location is
216 Frederick St, Pierson, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 749-9449.
Robert O Kessack Iii is licensed to practice in Florida (license number PA9105462) 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 1497708952.
Provider's Profile
| Full Name | Robert O Kessack Iii |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 216 Frederick St, Pierson, Florida |
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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: 1497708952
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 04/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 0547254856
- Enrollment ID: I20101027001120
Medical Identifiers
Medical identifiers for Robert O Kessack Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497708952 | NPI | - | NPPES |
| 002724600 | Medicaid | FL | |
| PA9105462 | Other | FL | PA LICENSE, FLORIDA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA9105462 (Florida) | 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 O Kessack Iii allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Florida Health Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992792311
PECOS PAC ID: 0547249518
Enrollment ID: O20040819000233 |
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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 O Kessack Iii 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 O Kessack Iii, PA
216 Frederick St,
Pierson, FL 32180-3024
Ph: (386) 749-9449 | Robert O Kessack Iii, PA
216 Frederick St,
Pierson, FL 32180-3024
Ph: (386) 749-9449 |
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