Edwin D Robertson, PHD - Medicare in Tyler, TX

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Edwin D Robertson, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Tyler, Texas. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Etmc Physician Group, Inc. and his current practice location is 701 Olympic Plaza Cir, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 596-3000.

Edwin D Robertson is licensed to practice in Texas (license number 24420) 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 1649200700.

Contact Information

Edwin D Robertson, PHD
701 Olympic Plaza Cir,
Tyler, TX 75701-1950
(903) 596-3000
(903) 596-3006

Map and Direction




Healthcare Provider's Profile

Full NameEdwin D Robertson
GenderMale
SpecialityClinical Psychologist
Experience34 Years
Location701 Olympic Plaza Cir, Tyler, Texas
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:
  • Edwin D Robertson graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1649200700
  • Provider Enumeration Date: 07/04/2006
  • Last Update Date: 12/31/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9537057740
  • Enrollment ID: I20040309000857

Medical Identifiers

Medical identifiers for Edwin D Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649200700NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 24420 (Texas)Secondary
103G00000XClinical Neuropsychologist 24420 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Etmc Physician Group, Inc.4486915600276

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. Edwin D Robertson allows following entities to bill medicare on his behalf.
Entity NameEast Texas Medical Center Healthcare Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124062484
PECOS PAC ID: 3678486222
Enrollment ID: O20031114000152
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106

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. Edwin D 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 AddressPractice Location Address
Edwin D Robertson, PHD
Po Box 9477,
Tyler, TX 75711-9477

Ph: (903) 594-2450		Edwin D Robertson, PHD
701 Olympic Plaza Cir,
Tyler, TX 75701-1950

Ph: (903) 596-3000

Reviews and Comments



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.