| Paul Russell Roberts, MD | |
|
990 S Madison St Ste 1, Tupelo, MS 38801-6308 | |
| (662) 377-4077 | |
| Not Available |
| Full Name | Paul Russell Roberts |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 7 Years |
| Location | 990 S Madison St Ste 1, Tupelo, 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 |
|---|---|---|---|
| 1902392939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 31784 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Clay County Medical Corporation | West point, MS | Hospital |
| Baptist Memorial Hospital Union County | New albany, MS | Hospital |
| Marion Regional Medical Center | Hamilton, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clay County Medical Corporation | 4789649609 | 28 |
| North Mississippi Medical Center, Inc. | 9931010600 | 298 |
| Entity Name | North Mississippi Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
| Entity Name | Clay County Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578670972 PECOS PAC ID: 4789649609 Enrollment ID: O20041119000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Russell Roberts, MD 990 S Madison St Ste 1, Tupelo, MS 38801-6308 Ph: () - | Paul Russell Roberts, MD 990 S Madison St Ste 1, Tupelo, MS 38801-6308 Ph: (662) 377-4077 |
Dr. Anthony David Junck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-842-1758 Fax: 662-844-8298 | |
Gillbert Daryl Hallman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-620-7102 Fax: 662-620-7106 | |
Dr. Robert Conrad Becker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 | |
Dr. William Ray Reed Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 990 South Madison Street, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 | |
Dr. William Russell Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-842-1758 | |
Clinton R. Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-620-7102 Fax: 662-620-7106 | |
Dr. Eric Ward Emig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 |