Paul Russell Roberts, MD - Medicare Radiology in Tupelo, MS

Paul Russell Roberts, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Tupelo, Mississippi. His current practice location is 990 S Madison St Ste 1, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-4077.

Paul Russell Roberts is licensed to practice in Mississippi (license number 31784) 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 1902392939.

Contact Information

Paul Russell Roberts, MD
990 S Madison St Ste 1,
Tupelo, MS 38801-6308
(662) 377-4077
Not Available

Map and Direction




Physician's Profile

Full NamePaul Russell Roberts
GenderMale
SpecialityRadiology - Radiation Oncology
Location990 S Madison St Ste 1, Tupelo, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902392939
  • Provider Enumeration Date: 07/02/2018
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951653245
  • Enrollment ID: I20230901002091

Medical Identifiers

Medical identifiers for Paul Russell Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902392939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology 31784 (Mississippi)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. Paul Russell Roberts allows following entities to bill medicare on his behalf.
Entity NameNorth Mississippi Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972608347
PECOS PAC ID: 9931010600
Enrollment ID: O20040413000541
Entity NameClay County Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578670972
PECOS PAC ID: 4789649609
Enrollment ID: O20041119000718

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. Paul Russell 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 AddressPractice 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

Reviews and Comments


Radiology Doctors in Tupelo, MS

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Dr. Eric Ward Emig, M.D.
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Practice Location: 620 Crossover Road, Tupelo, MS 38801
Phone: 662-620-7101    Fax: 662-842-1457

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.