Dr John Boone Roberson Sr, in Hattiesburg, MS

Dr John Boone Roberson Sr, is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Hattiesburg, Mississippi. His current practice location is 811 South 28th Avenue, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 261-2611.

Dr John Boone Roberson Sr is licensed to practice in Mississippi (license number 274693) 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 1871607812.

Contact Information

	Dr John Boone Roberson Sr,
	811 South 28th Avenue, Hattiesburg, MS 39402
	(601) 261-2611
	(601) 261-2711

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Boone Roberson Sr
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	811 South 28th Avenue, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871607812
Provider Enumeration Date: 08/18/2006
Last Update Date: 03/07/2012

Medicare PECOS Information:

PECOS PAC ID: 9335034859
Enrollment ID: I20140528000624

Medical Identifiers

Medical identifiers for Dr John Boone Roberson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871607812	NPI	-	NPPES
00660451	Medicaid	MS
01951327	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	274693 (Mississippi)	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 John Boone Roberson Sr 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 John Boone Roberson Sr, 811 South 28th Avenue, Hattiesburg, MS 39402 Ph: (601) 261-2611	Dr John Boone Roberson Sr, 811 South 28th Avenue, Hattiesburg, MS 39402 Ph: (601) 261-2611

Reviews and Comments

Dentist in Hattiesburg, MS

Dr. Mitchell Morris Guess, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 68 King Rd, Hattiesburg, MS 39402 Phone: 601-264-7112
Dr. Jennifer Ingels Hughes, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 114 N 40th Ave, Suite G, Hattiesburg, MS 39401 Phone: 601-261-5541 Fax: 601-261-5542
Dr. Griffin Harold West, D.M.D. Dentist Medicare: May Accept Medicare Assignments Practice Location: 1421 S 28th Ave, Hattiesburg, MS 39402 Phone: 601-264-7611
Dr. Meredith Gray Lucas, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6657 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-264-0537
Letasia Poyadou, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5128 Old Highway 11, Suite 11, Hattiesburg, MS 39402 Phone: 601-602-8083
John Davis, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7100 Highway 98, Suite 210, Hattiesburg, MS 39402 Phone: 601-255-4546
Matthew Louis Guillot, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 49 Cross Creek Pkwy, Hattiesburg, MS 39402 Phone: 601-264-5800 Fax: 601-450-0064

Dr John Boone Roberson Sr, - Medicare Dentist in Hattiesburg, MS