Travis Wade Robertson, DPT is a medicare enrolled "Physical Therapist" provider in Beverly, Illinois. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Sports And Ortho Pc and his current practice location is
10909-11 S Western Ave, Beverly, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 779-7970.
Travis Wade Robertson is licensed to practice in Illinois (license number 070023168) 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 1174042766.
Healthcare Provider's Profile
| Full Name | Travis Wade Robertson |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 8 Years |
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| Location | 10909-11 S Western Ave, Beverly, Illinois |
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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. |
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Medical Education and Training:
- Travis Wade Robertson graduated from medical school in 2017
NPI Data:
- NPI Number: 1174042766
- Provider Enumeration Date: 09/14/2017
- Last Update Date: 09/14/2017
Medicare PECOS Information:
- PECOS PAC ID: 0446516785
- Enrollment ID: I20171102001245
Medical Identifiers
Medical identifiers for Travis Wade Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174042766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 070023168 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sports And Ortho Pc | 5698676740 | 25 |
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. Travis Wade Robertson allows following entities to bill medicare on his behalf.
| Provider Name | Sports And Ortho Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1871640565
PECOS PAC ID: 5698676740
Enrollment ID: O20040120000848 |
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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. Travis Wade Robertson 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 |
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Travis Wade Robertson, DPT
10909-11 S Western Ave,
Beverly, IL 60643
Ph: (773) 779-7970 | Travis Wade Robertson, DPT
10909-11 S Western Ave,
Beverly, IL 60643
Ph: (773) 779-7970 |
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