| 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 | Radiology - Radiation Oncology | 
| Location | 990 S Madison St Ste 1, Tupelo, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902392939 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 31784 (Mississippi) | Primary | 
| 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: Accepting Medicare Assignments 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 |