Dr James Monroe Roberson Jr, DDS is a medicare enrolled "Dentist" provider in Pennington Gap, Virginia. His current practice location is
127 South Kentucky Street, Pennington Gap, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 546-3121.
Dr James Monroe Roberson Jr is licensed to practice in Virginia (license number 0401004698) 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 1548376403.
Healthcare Provider's Profile
| Full Name | Dr James Monroe Roberson Jr |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 127 South Kentucky Street, Pennington Gap, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548376403
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3274813233
- Enrollment ID: I20161208000745
Medical Identifiers
Medical identifiers for Dr James Monroe Roberson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548376403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 0401004698 (Virginia) | Primary |
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 James Monroe Roberson Jr 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 Address | Practice Location Address |
|---|
Dr James Monroe Roberson Jr, DDS
127 South Kentucky Street, Po Box 68,
Pennington Gap, VA 24277
Ph: (276) 546-3121 | Dr James Monroe Roberson Jr, DDS
127 South Kentucky Street,
Pennington Gap, VA 24277
Ph: (276) 546-3121 |
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