| Carson Roberts, DO | |
|
306 E Maumee St Ste 201, Angola, IN 46703-2035 | |
| (260) 667-2700 | |
| (260) 667-2611 |
| Full Name | Carson Roberts |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 306 E Maumee St Ste 201, Angola, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902420789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 02006478A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 11021038A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Of Fort Wayne | Fort wayne, IN | Home health agency |
| Cameron Memorial Community Hospital Inc | Angola, IN | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Dekalb Health | Auburn, IN | Hospital |
| Parkview Noble Hospital | Kendallville, IN | Hospital |
| Promedica Coldwater Regional Hospital | Coldwater, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Health System Inc | 2163336967 | 1196 |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552 |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Roberts, DO 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Carson Roberts, DO 306 E Maumee St Ste 201, Angola, IN 46703-2035 Ph: (260) 667-2700 |
Dr. Candis Nicole Bell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1381 N Wayne St, Angola, IN 46703 Phone: 260-665-8222 Fax: 260-665-8970 | |
Larry E Watkins, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 301 E Maumee St Ste 201, Angola, IN 46703 Phone: 260-665-2164 Fax: 260-665-3932 | |
Dr. Jonathan E Alley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 424 Williams St, Angola, IN 46703 Phone: 260-665-5170 Fax: 260-665-6979 | |
Berry L Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 E Maumee St Ste 201, Angola, IN 46703 Phone: 260-667-2700 Fax: 260-667-2611 | |
Dr. Harle Lauren Vogel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 315 Lane 230 Jimmerson Lk, Angola, IN 46703 Phone: 260-316-6222 | |
Dr. Terry L Shipe, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 306 E Maumee St Ste 201, Angola, IN 46703 Phone: 260-665-7595 Fax: 260-665-6586 | |
Elizabeth Kaylor Blanton, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 W Maumee St, Angola, IN 46703 Phone: 606-658-4942 Fax: 260-668-5690 |