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 | 34 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 |
Sienna Extended Care & Rehab | Midwest city, OK | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Hospitalist Group Pllc | 9133465354 | 15 |
Spectrum Healthcare Solutions, Pllc | 7618255118 | 17 |
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 | Hospitalist Medicine Physicians Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20180326002260 |
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 | Cogent Healthcare Of Texas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20210209000102 |
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 |
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 |