Dr Kenneth Dillon Robertson, PHD in St Augustine, FL - Medicare Clinical Psychologist Provider

Dr Kenneth Dillon Robertson, PHD is a medicare enrolled "Psychologist" provider in St Augustine, Florida. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Che Behavioral Health Services Of Florida, P.a. and his current practice location is 3604 Fort Peyton Cir, St Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 540-5310.

Dr Kenneth Dillon Robertson is licensed to practice in Florida (license number PY 6760) 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 1609070069.

Contact Information

	Dr Kenneth Dillon Robertson, PHD
	3604 Fort Peyton Cir, St Augustine, FL 32086-9101
	(904) 540-5310
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Dillon Robertson
Gender	Male
Speciality	Clinical Psychologist
Experience	31 Years
Location	3604 Fort Peyton Cir, St Augustine, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenneth Dillon Robertson graduated from medical school in 1993

NPI Data:

NPI Number: 1609070069
Provider Enumeration Date: 06/12/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5193811032
Enrollment ID: I20071023000562

Medical Identifiers

Medical identifiers for Dr Kenneth Dillon Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609070069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY 6760 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Che Behavioral Health Services Of Florida, P.a.	5698185775	34

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. Dr Kenneth Dillon Robertson allows following entities to bill medicare on his behalf.

Entity Name	Inpatient Consultants Of Florida, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018

Entity Name	Florida Post Acute Medical Services 1 Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255862439 PECOS PAC ID: 2567729395 Enrollment ID: O20171201002143

Entity Name	Ca Pacs 2 Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801372669 PECOS PAC ID: 4981954476 Enrollment ID: O20200504000150

Entity Name	Che Behavioral Health Services Of Florida, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932721206 PECOS PAC ID: 5698185775 Enrollment ID: O20201030000621

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. Dr Kenneth Dillon 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
Dr Kenneth Dillon Robertson, PHD 3604 Fort Peyton Cir, St Augustine, FL 32086-9101 Ph: (904) 540-5310	Dr Kenneth Dillon Robertson, PHD 3604 Fort Peyton Cir, St Augustine, FL 32086-9101 Ph: (904) 540-5310

Reviews and Comments

Psychologist in St Augustine, FL

Mrs. Mavis Bennett, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Ponce De Leon Blvd Ste 1, St Augustine, FL 32084 Phone: 904-824-7733 Fax: 904-829-9768
Dr. Janet R. Mullins, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24 Cathedral Pl Ste 407, St Augustine, FL 32084 Phone: 904-540-5523 Fax: 904-417-0084
Lance Craig Pulver, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24 Cathedral Pl, Suite 301, St Augustine, FL 32084 Phone: 904-471-7888 Fax: 904-471-7008
Dr. Christy Louise Monaghan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 354 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 904-755-6592
Kathryn Fountain Steele, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1733 Asturias St, St Augustine, FL 32080 Phone: 678-233-7474
Thomas Goldstein, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 124 Capulet Dr, St Augustine, FL 32092 Phone: 904-429-7806
Dr. Mary Alston Kerllenevich, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Ponce De Leon Blvd Ste 1, St Augustine, FL 32084 Phone: 904-824-7733 Fax: 904-829-9768

Dr Kenneth Dillon Robertson, PHD - Medicare Psychologist in St Augustine, FL