| Dr Michael D Roberts, MD | |
| 713 Ice House Dr, Mountain Top, PA 18707-9617 | |
| (570) 843-1972 | |
| Not Available | 
| Full Name | Dr Michael D Roberts | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 713 Ice House Dr, Mountain Top, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376861922 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 38763 (Oklahoma) | Secondary | 
| 207Q00000X | Family Medicine | MD450026 (Pennsylvania) | Primary | 
| Entity Name | Caring Community Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679038293 PECOS PAC ID: 5698004588 Enrollment ID: O20190830001893 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael D Roberts, MD 713 Ice House Dr, Mountain Top, PA 18707-9617 Ph: (607) 725-5064 | Dr Michael D Roberts, MD 713 Ice House Dr, Mountain Top, PA 18707-9617 Ph: (570) 843-1972 | 
| Dr. Daniel John Dudrick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 239 S Mountain Blvd, Suite 100, Mountain Top, PA 18707 Phone: 570-474-9300 Fax: 570-474-0962 | |
| Richard L Lehnert, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 160 Forest Rd, Mountain Top, PA 18707 Phone: 803-351-4393 Fax: 803-351-4393 | |
| Michael Anthony Moclock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 239 S Mountain Blvd, Suite 600, Mountain Top, PA 18707 Phone: 570-474-9300 Fax: 570-474-0962 | |
| Amanda M T Godfrey, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 35 S Mountain Blvd, Mountain Top, PA 18707 Phone: 570-474-5978 Fax: 570-474-5485 | |
| Dr. Irene Diane Lucas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 62 N Mountain Blvd, Mountain Top, PA 18707 Phone: 570-474-6562 Fax: 570-474-0796 | |
| Dr. Jennifer A. Wheeler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 S Mountain Blvd, Mountain Top, PA 18707 Phone: 570-474-5978 Fax: 570-474-5485 |