Rodney Shane Roberts, MD is a medicare enrolled "Family Medicine" physician in Decatur, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. His current practice location is
398 N Main St, Decatur, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 334-2222.
Rodney Shane Roberts is licensed to practice in Tennessee (license number 024022) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306847785.
Physician's Profile
| Full Name | Rodney Shane Roberts |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 33 Years |
|---|
| Location | 398 N Main St, Decatur, Tennessee |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Rodney Shane Roberts attended and graduated from East Tennessee State University Quillen College Of Medicine in 1991
NPI Data:
- NPI Number: 1306847785
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 08/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 0345151163
- Enrollment ID: I20050304000217
Medical Identifiers
Medical identifiers for Rodney Shane Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306847785 | NPI | - | NPPES |
| 443935 | Other | TN | RIVERBEND - RURAL HEALTH |
| 0443935 | Other | TN | MEDICAID |
| 03718733 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 024022 (Tennessee) | Primary |
Medical Facilities Affiliation
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. Rodney Shane Roberts allows following entities to bill medicare on his behalf.
| Entity Name | R. Shane Roberts, M.d., Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1740936178
PECOS PAC ID: 9436060258
Enrollment ID: O20050304000259 |
|---|
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. Rodney Shane 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 |
|---|
Rodney Shane Roberts, MD
Po Box 709,
Decatur, TN 37322-0709
Ph: (423) 334-2222 | Rodney Shane Roberts, MD
398 N Main St,
Decatur, TN 37322-7759
Ph: (423) 334-2222 |
Reviews and Comments