Dr Henry Lee Roberts, MD | |
520 Mary St Ste 520, Evansville, IN 47710-1682 | |
(812) 424-8231 | |
(812) 435-8794 |
Full Name | Dr Henry Lee Roberts |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 520 Mary St Ste 520, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881120434 | NPI | - | NPPES |
01088417A | Other | IN | INDIANA STATE LICENSE NUMBER |
01088417C | Other | IN | INDIANA STATE CSR - ESA |
1103099717 | Other | IN | ANTHEM BCBS |
7100900190 | Medicaid | KY | |
300076033 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 11019839A (Indiana) | Secondary |
208600000X | Surgery | 01088417A (Indiana) | Primary |
Entity Name | Evansville Surgical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497707517 PECOS PAC ID: 1557346723 Enrollment ID: O20040622000449 |
Mailing Address | Practice Location Address |
---|---|
Dr Henry Lee Roberts, MD 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231 | Dr Henry Lee Roberts, MD 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231 |
Dawn M Burgess, RNFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 2701 Lincoln Ave, Evansville, IN 47714 Phone: 812-476-4400 Fax: 812-476-0300 | |
Dr. Santi Vibul, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 520 Mary St, Suite 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8782 | |
Dr. Samir K. Gupta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Anthony David Kaiser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Brian W Schymik, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Prasad V Gade, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Katherine Mckenna Kottwitz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 111 S Green River Rd Ste F, Evansville, IN 47715 Phone: 812-436-1203 |