Mr James Clifton Roberson Iii, CRNA - Medicare Nurse Anesthetist, Certified Registered in New York, NY

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Mr James Clifton Roberson Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New York, New York. His current practice location is 617 W 168th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 305-4196.

Mr James Clifton Roberson Iii is licensed to practice in New York (license number 523406) 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 1508816497.

Contact Information

Mr James Clifton Roberson Iii, CRNA
617 W 168th St,
New York, NY 10032-3703
(212) 305-4196
Not Available

Map and Direction




Provider's Profile

Full NameMr James Clifton Roberson Iii
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location617 W 168th St, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508816497
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 09/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2860451143
  • Enrollment ID: I20041004000921

Medical Identifiers

Medical identifiers for Mr James Clifton Roberson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508816497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R045040 (Maine)Secondary
367500000XNurse Anesthetist, Certified Registered 523406 (New York)Primary

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. Mr James Clifton Roberson Iii allows following entities to bill medicare on his behalf.
Entity NameAlbany Medical College
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629008537
PECOS PAC ID: 1759293111
Enrollment ID: O20031125000386
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851456701
PECOS PAC ID: 1355232422
Enrollment ID: O20040329001569
Entity NameWeill Medical College Of Cornell
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164768305
PECOS PAC ID: 6800709023
Enrollment ID: O20130308000455

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 James Clifton Roberson Iii 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
Mr James Clifton Roberson Iii, CRNA
76 Pinehurst Ave Apt 5,
New York, NY 10033-4510

Ph: (207) 400-9759		Mr James Clifton Roberson Iii, CRNA
617 W 168th St,
New York, NY 10032-3703

Ph: (212) 305-4196

Reviews and Comments


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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.