Dr Keith F Roberts Jr, MD is a medicare enrolled "Surgery" physician in Demopolis, Alabama. He went to Meharry Medical College School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Tombigbee Healthcare Authority and his current practice location is
105 Us Highway 80 E, Suite 215, Demopolis, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 287-2840.
Dr Keith F Roberts Jr is licensed to practice in Alabama (license number 25746) 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 1245320340.
Physician's Profile
| Full Name | Dr Keith F Roberts Jr |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 22 Years |
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| Location | 105 Us Highway 80 E, Demopolis, Alabama |
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| Accepts Medicare Assignments | Yes. He 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 Keith F Roberts Jr attended and graduated from Meharry Medical College School Of Medicine in 2002
NPI Data:
- NPI Number: 1245320340
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 08/27/2013
Medicare PECOS Information:
- PECOS PAC ID: 3476569419
- Enrollment ID: I20060228000331
Medical Identifiers
Medical identifiers for Dr Keith F Roberts Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245320340 | NPI | - | NPPES |
| 166514001 | Medicaid | AR | |
| 150011 | Medicaid | AL | |
| 5H011 | Other | AR | BCBS |
| 51136881 | Other | AL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 25746 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tombigbee Healthcare Authority | 6709873235 | 40 |
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 Keith F Roberts Jr allows following entities to bill medicare on his behalf.
| Entity Name | Tombigbee Healthcare Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578690327
PECOS PAC ID: 6709873235
Enrollment ID: O20040427001551 |
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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 Keith F Roberts Jr 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 |
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Dr Keith F Roberts Jr, MD
Po Box 890,
Demopolis, AL 36732-0890
Ph: (334) 287-2840 | Dr Keith F Roberts Jr, MD
105 Us Highway 80 E, Suite 215,
Demopolis, AL 36732-3605
Ph: (334) 287-2840 |
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