Mark A Roberts, MD, PHD is a
Preventive Medicine - Occupational Medicine physician based in Edgerton, Wisconsin. Mark A Roberts is licensed to practice in Wisconsin (license number 31165) and his current practice location is 10552 N Watts Springs Park Rd, Edgerton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(312) 961-9391.
NPI number for Mark A Roberts is 1730677881 and his current mailing address is Po Box 111, Edgerton, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730677881.
Physician's Profile
| Full Name | Mark A Roberts |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 10552 N Watts Springs Park Rd, Edgerton, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730677881
- Provider Enumeration Date: 04/24/2018
- Last Update Date: 04/24/2018
Medical Identifiers
Medical identifiers for Mark A Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730677881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 16402 (Oklahoma) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 31165 (Wisconsin) | Primary |
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. Mark A Roberts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark A Roberts, MD, PHD
Po Box 111,
Edgerton, WI 53534-0111
Ph: (312) 961-9391 | Mark A Roberts, MD, PHD
10552 N Watts Springs Park Rd,
Edgerton, WI 53534-8947
Ph: (312) 961-9391 |
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