Mark Roberts, - Medicare Nurse Practitioner in Dayton, OH

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Mark Roberts, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dayton, Ohio. His current practice location is 122 Wyoming St, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 223-4461.

Mark Roberts is licensed to practice in Ohio (license number APRN.CNP.0027441) 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 1588094825.

Contact Information

Mark Roberts,
122 Wyoming St,
Dayton, OH 45409-2731
(937) 223-4461
(937) 449-7603

Map and Direction




Provider's Profile

Full NameMark Roberts
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location122 Wyoming St, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588094825
  • Provider Enumeration Date: 11/23/2013
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789098096
  • Enrollment ID: I20210128000595

Medical Identifiers

Medical identifiers for Mark Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588094825NPI-NPPES
0424687MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN.CNP.0027441 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.0027441 (Ohio)Primary
164W00000XLicensed Practical Nurse PN151753-M-IV (Ohio)Secondary

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 Roberts allows following entities to bill medicare on his behalf.
Entity NameDayton Lung And Sleep Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982621751
PECOS PAC ID: 7113817297
Enrollment ID: O20040319001406
Entity NamePremier Health Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194958223
PECOS PAC ID: 5597708594
Enrollment ID: O20050610000010
Entity NameClincare International Center Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174914683
PECOS PAC ID: 7416274907
Enrollment ID: O20150320001882
Entity NameWoodstream Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265001234
PECOS PAC ID: 8527462506
Enrollment ID: O20210812003526

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 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 AddressPractice Location Address
Mark Roberts,
3170 Kettering Blvd Bldg B3,
Moraine, OH 45439-1924

Ph: (937) 991-3188		Mark Roberts,
122 Wyoming St,
Dayton, OH 45409-2731

Ph: (937) 223-4461

Reviews and Comments


Nurse Practitioner Nurses in Dayton, OH

David Lee Evers, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 122 Wyoming St, Dayton, OH 45409
Phone: 937-223-4461    Fax: 937-449-7603
Kimberly Kay Myers, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459
Phone: 937-224-8200    Fax: 937-224-1770
Joni Abramczyk,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458
Phone: 937-439-4949    
Angela Marie Thompson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459
Phone: 800-824-9861    
Rosanne Cecilia Jones,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-3000    
Kimberly Wade Young, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8120 Garnet Dr, Dayton, OH 45458
Phone: 833-510-4357    
Mr. Kenneth Levi Moore Iii, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5981 Far Hills Ave, Dayton, OH 45429
Phone: 937-438-5954    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.