Elliott C Roberts Jr, MD | |
657 Skyline Dr, Jackson, TN 38301-3903 | |
(731) 541-8425 | |
(731) 541-8420 |
Full Name | Elliott C Roberts Jr |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 657 Skyline Dr, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225091614 | NPI | - | NPPES |
104813136 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 4301048061 (Michigan) | Secondary |
207V00000X | Obstetrics & Gynecology | MD0000043714 (Tennessee) | Primary |
Entity Name | Obhg Tennessee, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285924977 PECOS PAC ID: 1850566514 Enrollment ID: O20111207000456 |
Entity Name | Wt University Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023572344 PECOS PAC ID: 3779824719 Enrollment ID: O20190401001719 |
Mailing Address | Practice Location Address |
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Elliott C Roberts Jr, MD 657 Skyline Dr, Jackson, TN 38301-3903 Ph: (731) 541-8425 | Elliott C Roberts Jr, MD 657 Skyline Dr, Jackson, TN 38301-3903 Ph: (731) 541-8425 |
Dr. Molly Rheney, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 244 Coatsland Dr, Jackson, TN 38301 Phone: 731-422-4642 Fax: 731-422-2277 | |
Dr. Andrea Marshall Harper, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 244 Coatsland Dr, Jackson, TN 38301 Phone: 731-422-4642 Fax: 731-422-2277 | |
John J Ball, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 379 Hospital Blvd, Jackson, TN 38305 Phone: 731-660-3344 Fax: 731-660-3347 | |
Mrs. Leila Keel Nichols, CNM Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-660-8300 Fax: 731-660-8301 | |
Ruth Elaine Baker, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-410-0367 | |
Ryan Allen Roy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 244 Coatsland Dr, Jackson, TN 38301 Phone: 731-422-4642 Fax: 731-422-2277 |