Mrs Amy Kelly Roberts, APRN in Wright Patterson Afb, OH

Mrs Amy Kelly Roberts, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Wright Patterson Afb, Ohio. Her current practice location is 4881 Sugar Maple Drive, 88 Mdg, Wright Patterson Afb, Ohio. You can reach out to her office (for appointments etc.) via phone at (203) 676-2939.

Mrs Amy Kelly Roberts is licensed to practice in Connecticut (license number 5377) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497094866.

Contact Information

	Mrs Amy Kelly Roberts, APRN
	4881 Sugar Maple Drive, 88 Mdg, Wright Patterson Afb, OH 45433-5171
	(203) 676-2939
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amy Kelly Roberts
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4881 Sugar Maple Drive, Wright Patterson Afb, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497094866
Provider Enumeration Date: 02/05/2013
Last Update Date: 12/04/2014

Medicare PECOS Information:

PECOS PAC ID: 3375861107
Enrollment ID: I20230316000186

Medical Identifiers

Medical identifiers for Mrs Amy Kelly Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497094866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5377 (Connecticut)	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. Mrs Amy Kelly Roberts allows following entities to bill medicare on her behalf.

Entity Name	Coastal Connecticut Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982076014 PECOS PAC ID: 8527361161 Enrollment ID: O20160114002225

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. Mrs Amy Kelly 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
Mrs Amy Kelly Roberts, APRN 203 Fern Cir, Dayton, OH 45431-3517 Ph: (203) 676-2939	Mrs Amy Kelly Roberts, APRN 4881 Sugar Maple Drive, 88 Mdg, Wright Patterson Afb, OH 45433-5171 Ph: (203) 676-2939

Reviews and Comments

Nurse Practitioner Nurses in Wright Patterson Afb, OH

Ms. Jodi Annette Bear, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-1962
Dr. William Woodfin Crosby, DNP, APRN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-6991
Adriana Eden, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-1941
Dr. Bryan Hersch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 88 Mdg, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-6565 Fax: 937-656-3700
Sylvia N Musau, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0000
Mr. Barry Robert Holte, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, 88mdg/sgohc, Wright Patterson Afb, OH 45433 Phone: 937-257-6876 Fax: 937-656-1192
Connie Cummins Nichols, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 88mdg/sghi 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 Phone: 937-904-8395

Mrs Amy Kelly Roberts, APRN - Medicare Nurse Practitioner in Wright Patterson Afb, OH