Mr Arthur Thomas Roach, PA-C is a
Physician Assistant - Medical based in Horn Lake, Mississippi. Mr Arthur Thomas Roach is licensed to practice in Mississippi (license number PA-025) and his current practice location is
3040 Goodman Road, Suite C, Horn Lake, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 280-3428.
NPI number for Mr Arthur Thomas Roach is 1619967478 and his current mailing address is 5185 Nail Road, Olive Branch, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619967478.
Provider's Profile
| Full Name | Mr Arthur Thomas Roach |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 3040 Goodman Road, Suite C, Horn Lake, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619967478
- Provider Enumeration Date: 10/24/2005
- Last Update Date: 11/20/2009
Medical Identifiers
Medical identifiers for Mr Arthur Thomas Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619967478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA-025 (Mississippi) | Primary |
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. Mr Arthur Thomas Roach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Arthur Thomas Roach, PA-C
5185 Nail Road,
Olive Branch, MS 38654-8245
Ph: (662) 895-6738 | Mr Arthur Thomas Roach, PA-C
3040 Goodman Road, Suite C,
Horn Lake, MS 38637-1189
Ph: (662) 280-3428 |
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