Ms Charlezetta Roberson, PA is a medicare enrolled "Physician Assistant" in Amargosa Valley, Nevada. She graduated from nursing school in 1997 and has 29 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bacchus Wakefield Kahan Pc and 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
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 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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| Experience | 29 Years |
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| Location | 1690 E Amargosa Farm Rd, Amargosa Valley, Nevada |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Charlezetta Roberson graduated from nursing school in 1997
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 |
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| 363A00000X | Physician Assistant | 546 (Nevada) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bacchus Wakefield Kahan Pc | 5991069643 | 23 |
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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