| Joseph F Roberts Md Pa | |
|
1117 Sunset Dr Suite 101 Grenada MS 38901-4080 | |
| (662) 226-1168 | |
| (662) 226-1116 |
| Full Name | Joseph F Roberts Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1117 Sunset Dr, Grenada, Mississippi |
| Authorized Official Name and Position | Joseph Frank Roberts (OWNER) |
| Authorized Official Contact | 6622261168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph F Roberts Md Pa 1117 Sunset Dr Suite 101 Grenada MS 38901-4080 Ph: (662) 226-1168 | Joseph F Roberts Md Pa 1117 Sunset Dr Suite 101 Grenada MS 38901-4080 Ph: (662) 226-1168 |
| NPI Number | 1629269709 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 04/10/2024 |
| Medicare PECOS PAC ID | 7012942253 |
|---|---|
| Medicare Enrollment ID | O20050927000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629269709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14339 (Mississippi) | Primary |
| Provider Name | Joseph F Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023129608 PECOS PAC ID: 8426955964 Enrollment ID: I20050928000446 |
| Provider Name | Dustin Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942987664 PECOS PAC ID: 3577919786 Enrollment ID: I20231024003709 |
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