Robert R Mckibben, - Medicare Physician Assistant in Plymouth, WI

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Robert R Mckibben, is a medicare enrolled "Physician Assistant" in Plymouth, Wisconsin. He graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 2600 Kiley Way, Plymouth, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 449-7000.

Robert R Mckibben is licensed to practice in Wisconsin (license number 5662) 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 1184713182.

Contact Information

Robert R Mckibben,
2600 Kiley Way,
Plymouth, WI 53073-5020
(920) 449-7000
Not Available

Map and Direction




Provider's Profile

Full NameRobert R Mckibben
GenderMale
SpecialityPhysician Assistant
Experience23 Years
Location2600 Kiley Way, Plymouth, Wisconsin
Accepts Medicare AssignmentsYes. 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 R Mckibben graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1184713182
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 02/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608021944
  • Enrollment ID: I20220331001443

Medical Identifiers

Medical identifiers for Robert R Mckibben such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184713182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 11276 (Minnesota)Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 5662 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583764

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 R Mckibben allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameAurora Medical Center of Oshkosh Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275578064
PECOS PAC ID: 7113837378
Enrollment ID: O20031111000585
Entity NameBaycare Aurora LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387726
PECOS PAC ID: 0244130557
Enrollment ID: O20051012000579
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096

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 R Mckibben 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 AddressPractice Location Address
Robert R Mckibben,
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: (920) 449-7000		Robert R Mckibben,
2600 Kiley Way,
Plymouth, WI 53073-5020

Ph: (920) 449-7000

Reviews and Comments


Physician Assistant Nurses in Plymouth, WI

Mrs. Marissa Lynn Steinhaus, PA-C
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Practice Location: 825 Walton Dr, Plymouth, WI 53073
Phone: 920-496-4700    
David F Osterwind, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2600 Kiley Way, Plymouth, WI 53073
Phone: 920-449-7000    
Derek J Harmelink, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Kiley Way, Plymouth, WI 53073
Phone: 920-449-7000    
Sarah Jabs, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Kiley Way, Plymouth, WI 53073
Phone: 920-449-7000    Fax: 920-449-7221
Ms. Lynnett M Wilderman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Kiley Way, Plymouth, WI 53073
Phone: 920-449-7000    
Juliane R Nevers, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Kiley Way, Plymouth, WI 53073
Phone: 920-449-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.