Gregory L Roberts, MD | |
219 Grant Utely Ave Nw, Cass Lake, MN 56633 | |
(218) 335-2559 | |
Not Available |
Full Name | Gregory L Roberts |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 219 Grant Utely Ave Nw, Cass Lake, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699709592 | NPI | - | NPPES |
080060522 | Other | CO | RAIL ROAD MEDICARE |
01303411 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 30341 (Colorado) | Secondary |
207Q00000X | Family Medicine | 36046 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Health Of Northern Minnesota | 5597725168 | 284 |
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Entity Name | Sanford Health Of Northern Minnesota |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
Mailing Address | Practice Location Address |
---|---|
Gregory L Roberts, MD 219 Grant Utely Ave Nw, Po Box 67, Cass Lake, MN 56633 Ph: () - | Gregory L Roberts, MD 219 Grant Utely Ave Nw, Cass Lake, MN 56633 Ph: (218) 335-2559 |
Anoshirvan Mazhari, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 | |
Dr. Adrian A. Cordovi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 Fax: 218-335-3227 | |
Roleen Ruth Walgenbach, RNP Family Medicine Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 | |
Gilbert W Mouser, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 219 Grant Utley Ave, Cass Lake, MN 56633 Phone: 218-335-2559 Fax: 218-335-2755 | |
Antonio Michael Guimaraes, Family Medicine Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 Fax: 218-335-3227 | |
Dr. Dawn Lucile Wyllie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 Fax: 218-335-3204 |