Dr E Dwain Roberts, MD in Jefferson City, MO - Medicare Diagnostic Radiology

Dr E Dwain Roberts, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jefferson City, Missouri. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 1992 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Jefferson City Medical Group Pc and his current practice location is 1241 W Stadium Blvd, Jefferson City, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 556-7755.

Dr E Dwain Roberts is licensed to practice in Missouri (license number 114884) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013997782.

Contact Information

	Dr E Dwain Roberts, MD
	1241 W Stadium Blvd, Jefferson City, MO 65109-6023
	(573) 556-7755
	(573) 761-3599

Map and Direction

Physician's Profile

Full Name	Dr E Dwain Roberts
Gender	Male
Speciality	Diagnostic Radiology
Experience	33 Years
Location	1241 W Stadium Blvd, Jefferson City, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr E Dwain Roberts attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1992

NPI Data:

NPI Number: 1013997782
Provider Enumeration Date: 01/19/2006
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0840329306
Enrollment ID: I20100521000846

Medical Identifiers

Medical identifiers for Dr E Dwain Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013997782	NPI	-	NPPES
209786607	Medicaid	MO
CC7852	Other	MO	RR GROUP
300090314	Other	MO	RAILROAD MEDICARE
DB1586	Other	MO	GROUP RR
P00201659	Other	MO	IND. RR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0904X	Radiology - Nuclear Radiology	114884 (Missouri)	Secondary
2085U0001X	Radiology - Diagnostic Ultrasound	114884 (Missouri)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	114884 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jefferson City Medical Group Pc	1850371089	100

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 E Dwain Roberts allows following entities to bill medicare on his behalf.

Entity Name	Jefferson City Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924

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 E Dwain 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 E Dwain Roberts, MD Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 556-7755	Dr E Dwain Roberts, MD 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 556-7755

Reviews and Comments

Radiology Doctors in Jefferson City, MO

Dr. Bonnie R Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7755 Fax: 573-761-3599
Donald K Mcnutt, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2713 Industrial Dr, Suite C, Jefferson City, MO 65109 Phone: 573-634-7884 Fax: 573-634-3146
Dr. Jeffrey P. Patrick, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7755 Fax: 573-761-3599
Denzil J. Hawes-davis, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-635-7141 Fax: 573-634-3146
Dr. Steven C. Harper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7755 Fax: 573-761-3599
Mitchell Teruichi Godbee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5265 Fax: 573-632-5948

Dr E Dwain Roberts, MD - Medicare Diagnostic Radiology in Jefferson City, MO