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Robert Pasquale Raspa

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

15825 John J Delaney Dr, Suite 100, Charlotte, NC 28277-3146

(704) 323-3410 (704) 323-2000

PECOS Enrollment

This provider is enrolled in PECOS as ROBERT RASPA.

Based on the most recent information from CMS, provider Robert Pasquale Raspa is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1508889643
Provider Type
Individual
Full Name
Raspa, Robert Pasquale
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
7/26/2006
Last Updated
6/14/2011

Contact Information

Practice Location

15825 John J Delaney Dr, Suite 100, Charlotte, NC 28277-3146

(704) 323-3410

(704) 323-3402

Mailing Location

4601 Park Rd, Suite 300, Charlotte, NC 28209-3239

(704) 323-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-02781 North Carolina
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00078500 New Jersey

Provider Identifiers

ID	Description	Issuer
ID PENDING	Description Medicaid	Issuer Unlisted North Carolina

Robert Pasquale Raspa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

John, Kelly Deanne

Sheldon, Jennifer Shields

John, Lauren Nicole

Reisner, Jessica Hemby

Krol, Alicia Marie Pielow

Gossard, Kaitlyn

O'Neil, Megan Elizabeth

Bush, Nicole Vanderbosch

Hayes, Kathleen

Delaney, Paul Patrick