Dr Robert T Brodell, MD - Medicare Dermatology in Jackson, MS

Dr Robert T Brodell, MD is a medicare enrolled "Dermatology" physician in Jackson, Mississippi. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 1979 and has 45 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 2500 North State Street, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 815-3374.

Dr Robert T Brodell is licensed to practice in Mississippi (license number 22119) 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 1598765943.

Contact Information

Dr Robert T Brodell, MD
2500 North State Street,
Jackson, MS 39216-4500
(601) 815-3374
Not Available



Physician's Profile

Full NameDr Robert T Brodell
GenderMale
SpecialityDermatology
Experience45 Years
Location2500 North State Street, Jackson, Mississippi
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:
  • Dr Robert T Brodell attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1979
  NPI Data:
  • NPI Number: 1598765943
  • Provider Enumeration Date: 07/28/2005
  • Last Update Date: 10/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7517850449
  • Enrollment ID: I20120913000749

Medical Identifiers

Medical identifiers for Dr Robert T Brodell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598765943NPI-NPPES
P01087832OtherMSRAILROAD MEDICARE
08970301MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 35051453 (Ohio)Secondary
207ND0900XDermatology - Dermatopathology 35051453 (Ohio)Secondary
207N00000XDermatology 22119 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Med CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804

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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 Robert T Brodell allows following entities to bill medicare on his behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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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. Dr Robert T Brodell 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
Dr Robert T Brodell, MD
2500 North State Street, Ummc-department Of Dermatology,
Jackson, MS 39216-4500

Ph: (601) 815-3374
Dr Robert T Brodell, MD
2500 North State Street,
Jackson, MS 39216-4500

Ph: (601) 815-3374

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Dermatology Doctors in Jackson, MS

Julie P Wyatt, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3000 Old Canton Rd Ste 430, Jackson, MS 39216
Phone: 601-982-5441    Fax: 601-982-5442
Kimberley Helen Morine Ward, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-8000    
Dr. Joseph H Robinson, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216
Phone: 601-362-4471    Fax: 601-364-1278
Dr. Ashton Davis, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-8000    
Chemene Quinn, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 501 Marshall St Ste 406, Dermatology Consultants, Pllc, Jackson, MS 39202
Phone: 601-968-1912    
Dr. Ashley Nicole Emerson, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1675 Lakeland Dr Ste 200, Jackson, MS 39216
Phone: 601-589-1810    

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