| Dr Wilmer Burton Roberts, MD, PHD | |
|
210 Lake Rd Ste 200, Lake Jackson, TX 77566-4982 | |
| (979) 299-0011 | |
| Not Available |
| Full Name | Dr Wilmer Burton Roberts |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 22 Years |
| Location | 210 Lake Rd Ste 200, Lake Jackson, Texas |
| 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 |
|---|---|---|---|
| 1346391653 | NPI | - | NPPES |
| 110086918A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | AJ4147357 (Maryland) | Secondary |
| 208800000X | Urology | 245650 (Massachusetts) | Secondary |
| 208800000X | Urology | S7326 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St. Lukes' Brazosport Hospital | Lake jackson, TX | Hospital |
| Sweeny Community Hospital | Sweeny, TX | Hospital |
| Matagorda Regional Medical Center | Bay city, TX | Hospital |
| Chi St Luke's Health Baylor College Of Medicine Me | Houston, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baylor St Lukes Medical Group | 9133213192 | 162 |
| Entity Name | Baylor St Lukes Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
| Entity Name | Baylor College Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wilmer Burton Roberts, MD, PHD 210 Lake Rd Ste 200, Lake Jackson, TX 77566-4982 Ph: (979) 299-0011 | Dr Wilmer Burton Roberts, MD, PHD 210 Lake Rd Ste 200, Lake Jackson, TX 77566-4982 Ph: (979) 299-0011 |
Philmore Blake, Urology Medicare: Medicare Enrolled Practice Location: 188 Abner Jackson Pkwy, Lake Jackson, TX 77566 Phone: 979-297-9488 Fax: 979-297-9185 | |
Dr. Alisa Marie Berger, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 115 Abner Jackson Pkwy Ste C, Lake Jackson, TX 77566 Phone: 979-297-4140 Fax: 979-297-4919 |