Frederick William Roberts, DO is a medicare enrolled "Dermatology" physician in Lapeer, Michigan. His current practice location is
3273 Davison Rd, Ste 5, Lapeer, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 245-7766.
Frederick William Roberts is licensed to practice in Michigan (license number 5101010293) 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 1871591164.
Physician's Profile
| Full Name | Frederick William Roberts |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Location | 3273 Davison Rd, Lapeer, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871591164
- Provider Enumeration Date: 07/11/2005
- Last Update Date: 03/06/2008
Medicare PECOS Information:
- PECOS PAC ID: 9335247972
- Enrollment ID: I20070606000155
Medical Identifiers
Medical identifiers for Frederick William Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871591164 | NPI | - | NPPES |
| 4115633 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 5101010293 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Frederick William Roberts allows following entities to bill medicare on his behalf.
| Entity Name | Pinnacle Dermatology Sc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20181008002699 |
|---|
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. Frederick William Roberts 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 |
Frederick William Roberts, DO 3273 Davison Rd, Ste 5, Lapeer, MI 48446-4306 Ph: (810) 245-7766 | Frederick William Roberts, DO 3273 Davison Rd, Ste 5, Lapeer, MI 48446-4306 Ph: (810) 245-7766 |
Reviews and Comments