Dr Capritta Roberts, DO is a medicare enrolled "Ophthalmology" physician in Fernandina Beach, Florida. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2015 and has 9 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. She is a member of the group practice Russell Stackhouse Md Pa, Russell Stackhouse Md Pa and her current practice location is
6 S 14th St, Fernandina Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 261-5741.
Dr Capritta Roberts is licensed to practice in Florida (license number OS14112) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982099131.
Physician's Profile
| Full Name | Dr Capritta Roberts |
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| Gender | Female |
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| Speciality | Osteopathic Manipulative Medicine |
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| Experience | 9 Years |
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| Location | 6 S 14th St, Fernandina Beach, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Capritta Roberts attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2015
NPI Data:
- NPI Number: 1982099131
- Provider Enumeration Date: 04/04/2015
- Last Update Date: 07/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618264763
- Enrollment ID: I20160919000096
Medical Identifiers
Medical identifiers for Dr Capritta Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982099131 | NPI | - | NPPES |
| OS14112 | Other | FL | 207W00000X TAXONOMY CODE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 85417 (Georgia) | Secondary |
| 207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 65044 (Minnesota) | Secondary |
| 207W00000X | Ophthalmology | OS14112 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Russell Stackhouse Md Pa | 9133473325 | 12 |
| Russell Stackhouse Md Pa | 9133473325 | 12 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Capritta Roberts allows following entities to bill medicare on her behalf.
| Entity Name | Russell Stackhouse Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538655014
PECOS PAC ID: 9133473325
Enrollment ID: O20181107000636 |
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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 Capritta 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 |
|---|
Dr Capritta Roberts, DO
6 S 14th St,
Fernandina Beach, FL 32034-3212
Ph: (904) 261-5741 | Dr Capritta Roberts, DO
6 S 14th St,
Fernandina Beach, FL 32034-3212
Ph: (904) 261-5741 |
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