| Justin W Roberts, DO | |
|
501 West Pine Street, Farmington, MO 63640 | |
| (573) 756-8888 | |
| (866) 291-5617 |
| Full Name | Justin W Roberts |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 23 Years |
| Location | 501 West Pine Street, Farmington, Missouri |
| 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 |
|---|---|---|---|
| 1619057064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 2004027799 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkland Health Center | Farmington, MO | Hospital |
| Ste Genevieve County Memorial Hospital | Sainte genevieve, MO | Hospital |
| Iron County Medical Center | Pilot knob, MO | Hospital |
| Washington County Memorial Hospital | Potosi, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iron County Hospital District | 0941207526 | 23 |
| Ste Genevieve County Memorial Hospital | 3274432802 | 73 |
| Urology Of St. Louis, Inc | 6204723786 | 102 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026580 PECOS PAC ID: 3274432802 Enrollment ID: O20040204000815 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730238551 PECOS PAC ID: 3274432802 Enrollment ID: O20040310001286 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801817416 PECOS PAC ID: 3274432802 Enrollment ID: O20040617000089 |
| Entity Name | Sound Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811988611 PECOS PAC ID: 0446227821 Enrollment ID: O20040915000031 |
| Entity Name | Urology Of St. Louis, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528017191 PECOS PAC ID: 6204723786 Enrollment ID: O20050629000005 |
| Entity Name | Iron County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648178 PECOS PAC ID: 0941207526 Enrollment ID: O20070517000093 |
| Entity Name | Mercy Hospital Perry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin W Roberts, DO 501 West Pine Street, Farmington, MO 63640-1439 Ph: (573) 756-8888 | Justin W Roberts, DO 501 West Pine Street, Farmington, MO 63640 Ph: (573) 756-8888 |
Dr. Samuel Mearl Medaris, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 501 W Pine St, Farmington, MO 63640 Phone: 573-756-8888 Fax: 573-701-9547 |