Mrs Trisa Sue Roberts, RN is a
Registered Nurse - Critical Care Medicine based in Porum, Oklahoma. Mrs Trisa Sue Roberts is licensed to practice in Oklahoma (license number R0104933) and her current practice location is
10288 E 263rd St S, Porum, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 681-0141.
NPI number for Mrs Trisa Sue Roberts is 1497644819 and her current mailing address is 10288 E 263rd St S, Porum, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497644819.
Provider's Profile
Full Name | Mrs Trisa Sue Roberts |
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Gender | Female |
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Speciality | Registered Nurse - Critical Care Medicine |
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Location | 10288 E 263rd St S, Porum, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497644819
- Provider Enumeration Date: 07/01/2025
- Last Update Date: 07/01/2025
Medical Identifiers
Medical identifiers for Mrs Trisa Sue Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497644819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | R0104933 (Oklahoma) | 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. Mrs Trisa Sue Roberts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Trisa Sue Roberts, RN 10288 E 263rd St S, Porum, OK 74455-5639 Ph: (918) 681-0141 | Mrs Trisa Sue Roberts, RN 10288 E 263rd St S, Porum, OK 74455-5639 Ph: (918) 681-0141 |
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