Dr Glen Allen Roberson, DMD in Las Vegas, NV

Dr Glen Allen Roberson, DMD is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Las Vegas, Nevada. His current practice location is 9687 Blue Calico Dr, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (973) 202-3272.

Dr Glen Allen Roberson is licensed to practice in Nevada (license number LL-0107-06) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144434275.

Contact Information

	Dr Glen Allen Roberson, DMD
	9687 Blue Calico Dr, Las Vegas, NV 89123-5825
	(973) 202-3272
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Glen Allen Roberson
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	9687 Blue Calico Dr, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144434275
Provider Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5496004756
Enrollment ID: I20180820001684

Medical Identifiers

Medical identifiers for Dr Glen Allen Roberson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144434275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	LL-0107-06 (Nevada)	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. Dr Glen Allen 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
Dr Glen Allen Roberson, DMD 9687 Blue Calico Dr, Las Vegas, NV 89123-5825 Ph: (973) 202-3272	Dr Glen Allen Roberson, DMD 9687 Blue Calico Dr, Las Vegas, NV 89123-5825 Ph: (973) 202-3272

Reviews and Comments

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Dr Glen Allen Roberson, DMD - Medicare Dentist in Las Vegas, NV