Paul Russell Roberts, MD | |
990 S Madison St Ste 1, Tupelo, MS 38801-6308 | |
(662) 377-4077 | |
Not Available |
Full Name | Paul Russell Roberts |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 990 S Madison St Ste 1, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902392939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 31784 (Mississippi) | Primary |
Entity Name | North Mississippi Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
Entity Name | Clay County Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578670972 PECOS PAC ID: 4789649609 Enrollment ID: O20041119000718 |
Mailing Address | Practice Location Address |
---|---|
Paul Russell Roberts, MD 990 S Madison St Ste 1, Tupelo, MS 38801-6308 Ph: () - | Paul Russell Roberts, MD 990 S Madison St Ste 1, Tupelo, MS 38801-6308 Ph: (662) 377-4077 |
Dr. Anthony David Junck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-842-1758 Fax: 662-844-8298 | |
Gillbert Daryl Hallman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-620-7102 Fax: 662-620-7106 | |
Dr. Robert Conrad Becker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 | |
Dr. William Ray Reed Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 990 South Madison Street, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 | |
Dr. William Russell Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-842-1758 | |
Clinton R. Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-620-7102 Fax: 662-620-7106 | |
Dr. Eric Ward Emig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 |