| Kenneth C Roberts, DO | |
|
400 Veterans, Biloxy, MS 39531 | |
| (228) 523-4555 | |
| Not Available |
| Full Name | Kenneth C Roberts |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 400 Veterans, Biloxy, Mississippi |
| 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 |
|---|---|---|---|
| 1194890848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 021531 (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | 18538 (Mississippi) | Primary |
| 207R00000X | Internal Medicine | 2974 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alliancehealth Midwest | Midwest city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimum Care Hospitalist Group Pllc | 3779862446 | 21 |
| Metro Physicians Llc | 1153794813 | 62 |
| Midwest Hospitalist Group Pllc | 9133465354 | 19 |
| Entity Name | Spectrum Healthcare Solutions, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558816850 PECOS PAC ID: 7618255118 Enrollment ID: O20161104000192 |
| Entity Name | Optimum Care Hospitalist Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306396577 PECOS PAC ID: 3779862446 Enrollment ID: O20161121001476 |
| Entity Name | Midwest Hospitalist Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376011478 PECOS PAC ID: 9133465354 Enrollment ID: O20190109001451 |
| Entity Name | Metro Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588374797 PECOS PAC ID: 1153794813 Enrollment ID: O20230227002752 |
| Entity Name | Metro Healthcare Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194558304 PECOS PAC ID: 7618400557 Enrollment ID: O20241030001695 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth C Roberts, DO Po Box 850299, Yukon, OK 73085-0299 Ph: (985) 966-3757 | Kenneth C Roberts, DO 400 Veterans, Biloxy, MS 39531 Ph: (228) 523-4555 |