| Dr Gary Alan Roberson, M D | |
| 
					3550 Highway 468 West, Whitfield, MS 39193-0157  | |
| (601) 351-8000 | |
| (601) 351-8301 | 
| Full Name | Dr Gary Alan Roberson | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 3550 Highway 468 West, Whitfield, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629133400 | NPI | - | NPPES | 
| 008124779 | Medicaid | MS | |
| 260002937 | Other | MN | MEDICARE PTAN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 15474 (Mississippi) | Primary | 
| Entity Name | Forrest County General Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351  | 
| Entity Name | A-z Behavioral Solutions | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669898961 PECOS PAC ID: 5991931313 Enrollment ID: O20160526000552  | 
| Entity Name | Mdb Behavioral Health Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Gary Alan Roberson, M D 1855 Lakeland Dr, Suite P-231, Jackson, MS 39216-4913 Ph: (601) 906-4479  | Dr Gary Alan Roberson, M D 3550 Highway 468 West, Whitfield, MS 39193-0157 Ph: (601) 351-8000  | 
Dr. Luther Joseph Ward, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Mississippi State Hospital, Po Box 157a, Building 25, Whitfield, MS 39193 Phone: 601-351-8596  | |
Dr. Holden Blayne Lee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3550 Highway 468 W Bldg 25, Whitfield, MS 39193 Phone: 601-351-8596 Fax: 601-351-8551  | |
Caleb Buckner, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Po Box 157a, Whitfield, MS 39193 Phone: 601-351-8555  | |
Joseph Winters, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-8000  | |
Dr. Patrick Michael Fitz-gerald, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-8000  | |
Thomas Vincent Recore, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-0000  | |
Dr. Reb Mcmichael, M. D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301  |