Dr Jon W Roberts, DO is a medicare enrolled "Family Medicine" physician in Birch Tree, Missouri. His current practice location is
Highway 99 & O'banion Street, Birch Tree, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 292-3214.
Dr Jon W Roberts is licensed to practice in Missouri (license number R7838) 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 1962584896.
Physician's Profile
| Full Name | Dr Jon W Roberts |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | Highway 99 & O'banion Street, Birch Tree, Missouri |
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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: 1962584896
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 05/09/2013
Medicare PECOS Information:
- PECOS PAC ID: 8729158159
- Enrollment ID: I20100803000990
Medical Identifiers
Medical identifiers for Dr Jon W Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962584896 | NPI | - | NPPES |
| 240287201 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | R7838 (Missouri) | Primary |
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 Jon W Roberts allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Springfield Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354 |
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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 Jon W 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 Jon W Roberts, DO
Po Box 2580,
Springfield, MO 65801-2580
Ph: (417) 829-4620 | Dr Jon W Roberts, DO
Highway 99 & O'banion Street,
Birch Tree, MO 65438
Ph: (573) 292-3214 |
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