| Ingram M Roberts, MD | |
|
One Medical Center Blvd, Suite 231, Upland, PA 19013 | |
| (610) 619-7475 | |
| (610) 619-7477 |
| Full Name | Ingram M Roberts |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | One Medical Center Blvd, Upland, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538170501 | NPI | - | NPPES |
| 001345116 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD026652E (Pennsylvania) | Primary |
| Entity Name | Prospect Health Access Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Ingram M Roberts, MD One Medical Center Blvd, Suite 231, Upland, PA 19013 Ph: (610) 619-7475 | Ingram M Roberts, MD One Medical Center Blvd, Suite 231, Upland, PA 19013 Ph: (610) 619-7475 |
George Randolph Westby, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013 Phone: 610-872-8501 Fax: 610-872-5188 | |
Sat P. Arora, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013 Phone: 610-872-8501 Fax: 610-872-5188 | |
Kenneth R Lander, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Blvd, Suite 202, Upland, PA 19013 Phone: 610-447-8840 Fax: 610-447-8895 | |
Chike Nathan Okechukwu, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013 Phone: 610-872-8501 Fax: 610-872-5188 | |
Humaira Mahbub, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Blvd, Suite 404, Upland, PA 19013 Phone: 610-619-8590 Fax: 610-619-8591 | |
W Alan Keogh, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Ste 341, Upland, PA 19013 Phone: 610-619-7420 Fax: 610-876-6923 | |
Roy G. Marcus, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Blvd, Suite 303, Upland, PA 19013 Phone: 610-872-8501 Fax: 610-872-5188 |