Ms Debra L Roberts, LADC, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Rutland, Vermont. Her current practice location is
128 Merchants Row, Suite 611- 612, Rutland, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 786-8008.
Ms Debra L Roberts is licensed to practice in Vermont (license number 089-0000521) 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 1043384787.
Healthcare Provider's Profile
| Full Name | Ms Debra L Roberts |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 128 Merchants Row, Rutland, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043384787
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 09/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 4183512478
- Enrollment ID: I20040309000006
Medical Identifiers
Medical identifiers for Ms Debra L Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043384787 | NPI | - | NPPES |
| 364282 | Other | VT | MVP |
| 2172180 | Other | VT | CIGNA |
| 59865 | Other | VT | BLUE CROSS,BLUE SHIELD |
| 115219 | Other | VT | TEAMSTERS BEHAV. HEALTH |
| 1010145 | Medicaid | VT | |
| 589706000 | Other | VT | MAGELLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000207 (Vermont) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089-0000521 (Vermont) | 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 Debra L Roberts 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 Debra L Roberts, LADC, LICSW
128 Merchants Row, Suite 611- 612,
Rutland, VT 05701-5911
Ph: (802) 786-8008 | Ms Debra L Roberts, LADC, LICSW
128 Merchants Row, Suite 611- 612,
Rutland, VT 05701-5911
Ph: (802) 786-8008 |
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