| Jacob Wesley Roberts, PA-C | |
|
411 Theatre Dr, Johnstown, PA 15904-2838 | |
| (814) 266-3934 | |
| Not Available |
| Full Name | Jacob Wesley Roberts |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 411 Theatre Dr, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750861779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C5-0001235 (Delaware) | Secondary |
| 363A00000X | Physician Assistant | MA061665 (Pennsylvania) | Primary |
| Entity Name | University of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Entity Name | UPMC Altoona Regional Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396724217 PECOS PAC ID: 5395659312 Enrollment ID: O20040312000257 |
| Entity Name | Somerset Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134237407 PECOS PAC ID: 2668434614 Enrollment ID: O20041102000021 |
| Entity Name | Medexpress Urgent Care, PC - Pennsylvania |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982839031 PECOS PAC ID: 8224181482 Enrollment ID: O20090805000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Wesley Roberts, PA-C 411 Theatre Dr, Johnstown, PA 15904-2838 Ph: (814) 266-3934 | Jacob Wesley Roberts, PA-C 411 Theatre Dr, Johnstown, PA 15904-2838 Ph: (814) 266-3934 |
John Kline, PTA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Broad St, Johnstown, PA 15906 Phone: 814-535-6000 |
Christina Davis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, E3, Johnstown, PA 15905 Phone: 814-534-5592 Fax: 814-534-9975 |
Kelli Rae Slonka, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9000 |
Josie F Helsel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176 |
Miss Samantha J Pcola, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 216 Main St, Johnstown, PA 15901 Phone: 814-266-3196 |
David R Nevarre, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 Napoleon Pl, Johnstown, PA 15901 Phone: 814-536-9000 |
Mr. Kevin Joseph Green, P.A Physician Assistant Medicare: Medicare Enrolled Practice Location: 1450 Scalp Ave, Suite 106, Johnstown, PA 15904 Phone: 814-266-8466 Fax: 814-266-0177 |