Ms Kimberly Roberson, PA - Medicare Physician Assistant in Kenosha, WI

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Ms Kimberly Roberson, PA is a medicare enrolled "Physician Assistant" in Kenosha, Wisconsin. Her current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 948-5600.

Ms Kimberly Roberson is licensed to practice in Wisconsin (license number 1708) 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 1083666796.

Contact Information

Ms Kimberly Roberson, PA
10400 75th St,
Kenosha, WI 53142-7884
(262) 948-5600
Not Available

Map and Direction




Provider's Profile

Full NameMs Kimberly Roberson
GenderFemale
SpecialityPhysician Assistant
Location10400 75th St, Kenosha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083666796
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153302989
  • Enrollment ID: I20040527000671

Medical Identifiers

Medical identifiers for Ms Kimberly Roberson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083666796NPI-NPPES
007806261UOtherHUMANA
41986600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1708 (Wisconsin)Primary
363AS0400XPhysician Assistant - Surgical 1708 (Wisconsin)Secondary
207P00000XEmergency Medicine 1708 (Wisconsin)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kimberly Roberson allows following entities to bill medicare on her behalf.
Entity NameEmergency Medical Associates LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861483190
PECOS PAC ID: 0648242065
Enrollment ID: O20040806000968
Entity NameLake Country Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720060585
PECOS PAC ID: 4385607555
Enrollment ID: O20041109000212

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 Kimberly 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 AddressPractice Location Address
Ms Kimberly Roberson, PA
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250		Ms Kimberly Roberson, PA
10400 75th St,
Kenosha, WI 53142-7884

Ph: (262) 948-5600

Reviews and Comments


Physician Assistant Nurses in Kenosha, WI

David B Kite, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-7000    
William T Merritt, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6121 Green Bay Rd Ste 100, Kenosha, WI 53142
Phone: 262-945-7557    Fax: 262-727-0841
Inna Ialama,
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Medicare: Accepting Medicare Assignments
Practice Location: 6811 118th Ave, Kenosha, WI 53142
Phone: 262-857-5750    
Miss Sarah Rens, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6308 8th Ave, Kenosha, WI 53143
Phone: 262-656-3590    Fax: 262-656-3591
Dana Marie Madden,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-5600    
Alison M Ketterhagen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-5600    
Elizabeth Bisciglia,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7540 22nd Ave, Kenosha, WI 53143
Phone: 262-656-7800    Fax: 262-656-6957

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.