Dr Roger Roberts Jr, MD | |
300 E Boyd Ave Ste 250, Greenfield, IN 46140-2845 | |
(317) 467-4500 | |
(317) 477-6321 |
Full Name | Dr Roger Roberts Jr |
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Gender | Male |
Speciality | Pediatrics |
Location | 300 E Boyd Ave Ste 250, Greenfield, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871595389 | NPI | - | NPPES |
200002460 | Medicaid | IN | |
200311740E | Other | IN | MEDICAID GROUP # |
370018016 | Other | IN | MEDICARE RAILROAD # |
4561963 | Other | IN | AETNA PIN # |
000000112502 | Other | IN | ANTHEM PIN # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01040512A (Indiana) | Primary |
Entity Name | Hancock Physician Network, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609806470 PECOS PAC ID: 8325952633 Enrollment ID: O20040130000777 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger Roberts Jr, MD Po Box 129, Greenfield, IN 46140-0129 Ph: (317) 468-6270 | Dr Roger Roberts Jr, MD 300 E Boyd Ave Ste 250, Greenfield, IN 46140-2845 Ph: (317) 467-4500 |
Dr. Lorraine Wean, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 E Boyd Ave Ste 250, Greenfield, IN 46140 Phone: 317-467-4500 Fax: 317-477-6321 | |
Dr. Paul J Halter Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 E Boyd Ave Ste 250, Greenfield, IN 46140 Phone: 317-467-4500 Fax: 317-477-6321 | |
Kevin Downard, Pediatrics Medicare: Medicare Enrolled Practice Location: 1107 N State St, Greenfield, IN 46140 Phone: 844-695-7242 |