Robert Patrick Daze, DO - Medicare Dermatology in Carmel, IN

Robert Patrick Daze, DO is a medicare enrolled "Dermatology" physician in Carmel, Indiana. His current practice location is 755 W Carmel Dr Ste 101, Carmel, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 846-2396.

Robert Patrick Daze is licensed to practice in Indiana (license number 02006709A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326535741.

Contact Information

Robert Patrick Daze, DO
755 W Carmel Dr Ste 101,
Carmel, IN 46032-5875
(317) 846-2396
(317) 846-1699



Physician's Profile

Full NameRobert Patrick Daze
GenderMale
SpecialityDermatology
Location755 W Carmel Dr Ste 101, Carmel, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326535741
  • Provider Enumeration Date: 04/20/2018
  • Last Update Date: 11/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234511619
  • Enrollment ID: I20220802000404

Medical Identifiers

Medical identifiers for Robert Patrick Daze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326535741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 02006709A (Indiana)Primary

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 Patrick Daze allows following entities to bill medicare on his behalf.
Entity NameForefront Dermatology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659796225
PECOS PAC ID: 3779471701
Enrollment ID: O20140425001640

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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. Robert Patrick Daze 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 Patrick Daze, DO
801 York St,
Manitowoc, WI 54220-4630

Ph: (920) 663-9008
Robert Patrick Daze, DO
755 W Carmel Dr Ste 101,
Carmel, IN 46032-5875

Ph: (317) 846-2396

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Dermatology Doctors in Carmel, IN

Laryn K Steadman, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 755 W Carmel Dr Ste 101, Carmel, IN 46032
Phone: 317-846-2396    Fax: 317-846-1699
Mary J Tempel, N.P.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 11900 N Pennsylvania St, #202, Carmel, IN 46032
Phone: 317-926-3739    Fax: 317-921-7478
Nico Mousdicas, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 755 W Carmel Dr, Suite 101, Carmel, IN 46032
Phone: 317-846-2396    Fax: 317-846-1699
Dr. Andrew T Bridge, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 13000 N Meridian St Ste 101, Carmel, IN 46032
Phone: 317-208-3813    Fax: 317-208-3815
Ross Matthew Levy, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 13450 N Meridian St, Suite 355, Carmel, IN 46032
Phone: 317-582-8484    
Lisa Edwards Trivedi, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 725 Lakefront Ct, Carmel, IN 46032
Phone: 317-926-3739    

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