Dr Mark Ian Roberts, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Morenci, Arizona. His current practice location is
401 Burro Aly, Morenci, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 865-7501.
Dr Mark Ian Roberts is licensed to practice in Arizona (license number 45322) 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 1457330383.
Physician's Profile
| Full Name | Dr Mark Ian Roberts |
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| Gender | Male |
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| Speciality | Emergency Medicine - Emergency Medical Services |
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| Location | 401 Burro Aly, Morenci, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457330383
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 03/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264611771
- Enrollment ID: I20121115000035
Medical Identifiers
Medical identifiers for Dr Mark Ian Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457330383 | NPI | - | NPPES |
| 0001111501 | Medicaid | DE | |
| 001111501 | Medicaid | DE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | C10006136 (Delaware) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 45322 (Arizona) | 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. Dr Mark Ian Roberts allows following entities to bill medicare on his behalf.
| Entity Name | Progressive Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548218613 PECOS PAC ID: 7113829599 Enrollment ID: O20040308001331 |
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| Entity Name | Gila Health Resources |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497740187 PECOS PAC ID: 1254327216 Enrollment ID: O20040423000876 |
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| Entity Name | Scottsdale Physicians Group Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689799579 PECOS PAC ID: 8325099385 Enrollment ID: O20050207000876 |
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| Entity Name | Innova Emergency Medical Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20160525000770 |
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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. Dr Mark Ian 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 |
Dr Mark Ian Roberts, MD 3474 N Prospectors Rd, Apache Junction, AZ 85119-9872 Ph: (302) 538-0929 | Dr Mark Ian Roberts, MD 401 Burro Aly, Morenci, AZ 85540-9647 Ph: (928) 865-7501 |
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