Mark D Roberts, MD is a medicare enrolled "Pediatrics" physician in Mullins, South Carolina. His current practice location is
2845 E Highway 76, Suite 4, Mullins, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 431-2720.
Mark D Roberts is licensed to practice in South Carolina (license number 28818) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871507913.
Physician's Profile
Full Name | Mark D Roberts |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 2845 E Highway 76, Mullins, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871507913
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 10/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173528502
- Enrollment ID: I20060919000100
Medical Identifiers
Medical identifiers for Mark D Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871507913 | NPI | - | NPPES |
GP5462 | Other | SC | MEDICAID GROUP |
288183 | Medicaid | SC | |
RHC538 | Medicaid | SC | |
GP0861 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 28818 (South Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark D Roberts allows following entities to bill medicare on his behalf.
Entity Name | Medical University Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
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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 D Roberts is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mark D Roberts, MD 2845 E Highway 76, Suite 4, Mullins, SC 29574-6037 Ph: (843) 431-2720 | Mark D Roberts, MD 2845 E Highway 76, Suite 4, Mullins, SC 29574-6037 Ph: (843) 431-2720 |
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