| Mr Eric Daniel Roberts, PA-C | |
|
111 N Nappanee St, Elkhart, IN 46514 | |
| (574) 522-0265 | |
| Not Available |
| Full Name | Mr Eric Daniel Roberts |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 111 N Nappanee St, Elkhart, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235536939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10002359A (Indiana) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epiphany Dermatology Of Georgia, Llc | 6800798182 | 22 |
| Entity Name | Epiphany Dermatology of Georgia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265544357 PECOS PAC ID: 6800798182 Enrollment ID: O20040126000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eric Daniel Roberts, PA-C 111 N Nappanee St, Elkhart, IN 46514-1957 Ph: (574) 522-0265 | Mr Eric Daniel Roberts, PA-C 111 N Nappanee St, Elkhart, IN 46514 Ph: (574) 522-0265 |
Ms. Christine Ankaret Rullo, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 230, Elkhart, IN 46514 Phone: 574-522-6565 Fax: 574-522-5572 |
Meredith Alcinda Mayfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621 |
Mr. Anthony Houston Ii, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3160 |
Maria Schwindaman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25086 N Shore Dr, Elkhart, IN 46514 Phone: 574-309-8838 |
Ms. Judith Lynn Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 22818 Old Us 20, Community Occupational Medicine, Elkhart, IN 46516 Phone: 574-389-1231 Fax: 574-389-1232 |
Megan Kathleen Maloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2310 California Rd Ste A, Elkhart, IN 46514 Phone: 574-264-0791 |
Melissa Michelle Turner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 230, Elkhart, IN 46514 Phone: 574-522-6565 |