Tisa O Roberts, MD - Medicare Family Medicine in Rocky Mount, NC

  1. Home
  2. Family Medicine
  3. NC
  4. Rocky Mount
Tisa O Roberts, MD is a medicare enrolled "Family Medicine" physician in Rocky Mount, North Carolina. Her current practice location is 1041 Noell Ln, Medical Plaza B, Rocky Mount, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 316-8205.

Tisa O Roberts is licensed to practice in North Carolina (license number 2006-01513) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942342159.

Contact Information

Tisa O Roberts, MD
1041 Noell Ln, Medical Plaza B,
Rocky Mount, NC 27804-2058
(252) 316-8205
(252) 962-3451

Map and Direction




Physician's Profile

Full NameTisa O Roberts
GenderFemale
SpecialityFamily Medicine
Location1041 Noell Ln, Rocky Mount, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942342159
  • Provider Enumeration Date: 02/13/2007
  • Last Update Date: 10/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7719088624
  • Enrollment ID: I20070723000339

Medical Identifiers

Medical identifiers for Tisa O Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942342159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2006-01513 (North Carolina)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. Tisa O Roberts allows following entities to bill medicare on her behalf.
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528478237
PECOS PAC ID: 3173563590
Enrollment ID: O20140921000016
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396103305
PECOS PAC ID: 3173563590
Enrollment ID: O20161104000262
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750734307
PECOS PAC ID: 3173563590
Enrollment ID: O20170629002020
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639661796
PECOS PAC ID: 3173563590
Enrollment ID: O20190221001213
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578219424
PECOS PAC ID: 3173563590
Enrollment ID: O20221009000067

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. Tisa O 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
Tisa O Roberts, MD
Po Box 2723,
Rocky Mount, NC 27802-2723

Ph: (252) 212-6802		Tisa O Roberts, MD
1041 Noell Ln, Medical Plaza B,
Rocky Mount, NC 27804-2058

Ph: (252) 316-8205

Reviews and Comments


Family Medicine Doctors in Rocky Mount, NC

Courage Osifo Emokpae, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 576 Shellcastle Rd, Rocky Mount, NC 27804
Phone: 201-407-0140    
David R Gorby, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 921 N. Winstead Avenue, Rocky Mount, NC 27804
Phone: 252-937-0300    Fax: 252-937-2675
Mrs. Judy Roland Schauer, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 804 English Road, Suite 100, Rocky Mount, NC 27804
Phone: 252-443-3133    Fax: 252-443-6726
Mark Troy Kimpton, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 804 English Rd Ste 100, Rocky Mount, NC 27804
Phone: 252-443-3133    Fax: 252-443-0847
Dr. Mark S Abel, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 804 English Rd, Suite 100, Rocky Mount, NC 27804
Phone: 252-443-3133    Fax: 252-443-6726
Jeston Alger, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2460 Curtis Ellis Dr, Rocky Mount, NC 27804
Phone: 828-456-7311    
Maisha Pesante, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Fairview Rd, Rocky Mount, NC 27801
Phone: 252-446-3333    Fax: 252-446-0426

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.