Holly R Roberts, PA-C in Pleasant Prairie, WI - Medicare Physician Assistant

Holly R Roberts, PA-C is a medicare enrolled "Physician Assistant" in Pleasant Prairie, Wisconsin. Her current practice location is 12500 Aurora Dr, Pleasant Prairie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 857-5000.

Holly R Roberts is licensed to practice in Wisconsin (license number 5760-023) 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 1962150946.

Contact Information

	Holly R Roberts, PA-C
	12500 Aurora Dr, Pleasant Prairie, WI 53158-1227
	(262) 857-5000
	(262) 857-5001

Map and Direction

Provider's Profile

Full Name	Holly R Roberts
Gender	Female
Speciality	Physician Assistant
Location	12500 Aurora Dr, Pleasant Prairie, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962150946
Provider Enumeration Date: 03/17/2022
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6002202264
Enrollment ID: I20220415000888

Medical Identifiers

Medical identifiers for Holly R Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962150946	NPI	-	NPPES
100197616	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5760-023 (Wisconsin)	Primary

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. Holly R 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
Holly R Roberts, PA-C 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (262) 857-5000	Holly R Roberts, PA-C 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (262) 857-5000

Reviews and Comments

Physician Assistant Nurses in Pleasant Prairie, WI

Megan Lee, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-656-3590
Summer R Winger, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9555 76th St Ste 3880, Pleasant Prairie, WI 53158 Phone: 262-653-5483 Fax: 262-653-3830
Colleen Courtney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5400
Jeffrey Allen Greene, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 Fax: 262-857-5001
Kathryn A Mahoney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St # 1200, Pleasant Prairie, WI 53158 Phone: 262-671-7300 Fax: 262-671-7315
Patricia Hunt, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-671-7510
Nicole Dubish, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000

Holly R Roberts, PA-C - Medicare Physician Assistant in Pleasant Prairie, WI