| Dr Kevin D Roberts, DPM | |
|
1700 W Stout St, Rice Lake, WI 54868-5000 | |
| (715) 236-8100 | |
| Not Available |
| Full Name | Dr Kevin D Roberts |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 1700 W Stout St, Rice Lake, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336147446 | NPI | - | NPPES |
| 43242000 | Medicaid | WI | |
| 0014689160003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | SC003533L (Pennsylvania) | Secondary |
| 213E00000X | Podiatrist | 927 (Wisconsin) | Primary |
| Provider Name | Marshfield Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Provider Name | Mchs Hospitals Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Provider Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Provider Name | Mchs Hospitals Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin D Roberts, DPM 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Dr Kevin D Roberts, DPM 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100 |
Timothy Dane Hovde, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-0702 |