Ms Charlezetta Roberson, PA is a medicare enrolled "Physician Assistant" in Amargosa Valley, Nevada. Her current practice location is
1690 E Amargosa Farm Rd, Amargosa Valley, Nevada. You can reach out to her office (for appointments etc.) via phone at
(775) 372-5432.
Ms Charlezetta Roberson is licensed to practice in Nevada (license number 546) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215128335.
Provider's Profile
| Full Name | Ms Charlezetta Roberson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1690 E Amargosa Farm Rd, Amargosa Valley, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215128335
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 01/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 7618061920
- Enrollment ID: I20070918000225
Medical Identifiers
Medical identifiers for Ms Charlezetta Roberson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215128335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 546 (Nevada) | 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. Ms Charlezetta Roberson 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 Address | Practice Location Address |
Ms Charlezetta Roberson, PA 3325 Research Way, Carson City, NV 89706-7913 Ph: (702) 220-9902 | Ms Charlezetta Roberson, PA 1690 E Amargosa Farm Rd, Amargosa Valley, NV 89020-9735 Ph: (775) 372-5432 |
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