Robert William Roethel, PA - Medicare Physician Assistant in Valdosta, GA

Robert William Roethel, PA is a medicare enrolled "Physician Assistant - Surgical" in Valdosta, Georgia. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Hughston Clinic Pc and his current practice location is 4340 Kings Way, Valdosta, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 333-9736.

Robert William Roethel is licensed to practice in Georgia (license number 9762) 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 1457971921.

Contact Information

Robert William Roethel, PA
4340 Kings Way,
Valdosta, GA 31602-6921
(229) 333-9736
(478) 353-1170



Provider's Profile

Full NameRobert William Roethel
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location4340 Kings Way, Valdosta, Georgia
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:
  • Robert William Roethel graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1457971921
  • Provider Enumeration Date: 04/24/2020
  • Last Update Date: 11/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769803840
  • Enrollment ID: I20200527002161

Medical Identifiers

Medical identifiers for Robert William Roethel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457971921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 9762 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cook Medical Center A Campus Of Tift Reg Med CtrAdel, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hughston Clinic Pc135525478098

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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 William Roethel 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 William Roethel, PA
Po Box 370,
Fortson, GA 31808-0370

Ph: () -
Robert William Roethel, PA
4340 Kings Way,
Valdosta, GA 31602-6921

Ph: (229) 333-9736

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Physician Assistant Nurses in Valdosta, GA

Chaeli Wisenbaker, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2412 N Oak St, Valdosta, GA 31602
Phone: 229-244-1400    Fax: 229-244-5512
Ashly Mcdaniel, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3527 N Valdosta Rd, Valdosta, GA 31602
Phone: 229-247-2290    
Mr. Lonas Edward Lewis Ii, P.A.-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3251 Inner Perimeter Rd Ste B, Valdosta, GA 31602
Phone: 229-259-0006    Fax: 229-259-0803
Dana Woods Simpson, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 201 Woodrow Wilson Dr, Valdosta, GA 31602
Phone: 229-241-0041    Fax: 229-241-0048
Matthew Allan Thomas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2412 N Oak St, Valdosta, GA 31602
Phone: 229-244-1400    Fax: 229-244-5512
Ms. Shonta K Winbush, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 704 Gil Harbin Ind Blvd, Valdosta, GA 31602
Phone: 229-242-9003    Fax: 229-242-0490
Lela Faircloth Allen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3018 N Patterson St, Valdosta, GA 31602
Phone: 229-433-7200    Fax: 229-249-4031

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