Randolph Roberts, MD | |
1201 S Main St, Crown Point, IN 46307-8481 | |
(219) 757-6320 | |
(219) 738-6714 |
Full Name | Randolph Roberts |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 40 Years |
Location | 1201 S Main St, Crown Point, Indiana |
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 |
---|---|---|---|
1659368017 | NPI | - | NPPES |
200005040 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01036988 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Crown Point | Crown point, IN | Hospital |
Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
Franciscan Health Dyer | Dyer, IN | Hospital |
Franciscan Health Munster | Munster, IN | Hospital |
Franciscan Health Lafayette | Lafayette, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Imaging Associates Of Indiana Pc | 1254503345 | 179 |
Entity Name | Imaging Associates Of Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20111014000250 |
Mailing Address | Practice Location Address |
---|---|
Randolph Roberts, MD 55 E 86th Ave, Po Boix 10645, Merrillville, IN 46410-6382 Ph: (219) 769-1670 | Randolph Roberts, MD 1201 S Main St, Crown Point, IN 46307-8481 Ph: (219) 757-6320 |
Matthew J Evon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 | |
Hee Seork Kim, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 | |
Heratch O Doumanian, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 | |
Mohammed A Abbas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 | |
Allan W Cass, MD Radiology Medicare: Medicare Enrolled Practice Location: 10855 Virginia St, Crown Point, IN 46307 Phone: 888-824-0200 | |
Jose R Labayo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714 |