| Katherine Jo Roberts, PA-C | |
|
39 Barkley Cir, Fort Myers, FL 33907-7531 | |
| (239) 936-1616 | |
| (239) 936-0837 |
| Full Name | Katherine Jo Roberts |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 39 Barkley Cir, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366474090 | NPI | - | NPPES |
| 010879800 | Medicaid | FL | |
| 398636 | Other | FL | AVMED |
| 5616875 | Other | FL | AETNA |
| P1023220 | Other | FL | FREEDOM |
| P961417 | Other | FL | OPTIMUM |
| Y09W3 | Other | FL | BCBS |
| 1026801 | Other | FL | STAYWELL (MEDICAID) AND WELLCARE (MEDICARE). |
| P01283318 | Other | FL | RAILROAD MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9102961 (Florida) | Primary |
| Entity Name | Genesiscare USA of Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Jo Roberts, PA-C 2234 Colonial Blvd, Attn: Payer Contracting And Relations, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Katherine Jo Roberts, PA-C 39 Barkley Cir, Fort Myers, FL 33907-7531 Ph: (239) 936-1616 |
Rebeca Price, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1078 |
Richard Burgess, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3840 Colonial Blvd Ste 1, Fort Myers, FL 33966 Phone: 855-778-6262 Fax: 855-778-3262 |
Mr. Jordan Antonio Facey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12670 Creekside Ln, Fort Myers, FL 33919 Phone: 239-482-2663 Fax: 480-499-8459 |
Olivia Grace Williams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3650 Colonial Ct, Fort Myers, FL 33913 Phone: 904-534-4749 |
Jamison Dicus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7370 College Pkwy Ste 206, Fort Myers, FL 33907 Phone: 512-730-3056 Fax: 888-730-1925 |
Carolyn Sarah Howell, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2606 Fax: 239-343-3695 |
Steven Milhauser, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2531 Cleveland Ave, Suite 1, Fort Myers, FL 33901 Phone: 239-334-7000 Fax: 239-334-7070 |