Marilyn Nichole Moulton Roberts, PA-C - Medicare Physician Assistant in Columbus, GA

Marilyn Nichole Moulton Roberts, PA-C is a medicare enrolled "Physician Assistant" in Columbus, Georgia. She went to University Of South Alabama College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lane Dermatology And Dermatologic Surgery Llc and her current practice location is 1210 Brookstone Centre Pkwy, Columbus, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 322-1717.

Marilyn Nichole Moulton Roberts is licensed to practice in Alabama (license number 1404) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811463490.

Contact Information

Marilyn Nichole Moulton Roberts, PA-C
1210 Brookstone Centre Pkwy,
Columbus, GA 31904-9272
(706) 322-1717
(706) 322-1718

Map and Direction




Provider's Profile

Full NameMarilyn Nichole Moulton Roberts
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location1210 Brookstone Centre Pkwy, Columbus, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marilyn Nichole Moulton Roberts attended and graduated from University Of South Alabama College Of Medicine in 2018
  NPI Data:
  • NPI Number: 1811463490
  • Provider Enumeration Date: 10/22/2018
  • Last Update Date: 04/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678816774
  • Enrollment ID: I20230920003083

Medical Identifiers

Medical identifiers for Marilyn Nichole Moulton Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811463490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1404 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lane Dermatology And Dermatologic Surgery Llc77190729417

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. Marilyn Nichole Moulton 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
Marilyn Nichole Moulton Roberts, PA-C
1210 Brookstone Centre Pkwy,
Columbus, GA 31904-9272

Ph: (706) 322-1717
Marilyn Nichole Moulton Roberts, PA-C
1210 Brookstone Centre Pkwy,
Columbus, GA 31904-9272

Ph: (706) 322-1717

Reviews and Comments


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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.