Dr Mallory Sanderfur Roberts, OD is a medicare enrolled "Optometrist" provider in Calhoun, Kentucky. She went to University Of Alabama School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Bluegrass Family Eyecare Inc. and her current practice location is
255 Main St, Calhoun, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 273-3000.
Dr Mallory Sanderfur Roberts is licensed to practice in Kentucky (license number 1421DT) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679668198.
Healthcare Provider's Profile
Full Name | Dr Mallory Sanderfur Roberts |
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Gender | Female |
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Speciality | Optometry |
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Experience | 26 Years |
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Location | 255 Main St, Calhoun, Kentucky |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Mallory Sanderfur Roberts attended and graduated from University Of Alabama School Of Medicine in 1998
NPI Data:
- NPI Number: 1679668198
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 06/18/2014
Medicare PECOS Information:
- PECOS PAC ID: 6709878762
- Enrollment ID: I20040405000086
Medical Identifiers
Medical identifiers for Dr Mallory Sanderfur Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679668198 | NPI | - | NPPES |
77903375 | Medicaid | KY | |
77014215 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1421DT (Kentucky) | 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. Dr Mallory Sanderfur Roberts allows following entities to bill medicare on her behalf.
Provider Name | Bluegrass Family Eyecare Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1598838385 PECOS PAC ID: 3274525290 Enrollment ID: O20040331000832 |
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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. Dr Mallory Sanderfur 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 |
Dr Mallory Sanderfur Roberts, OD Po Box 411, Calhoun, KY 42327-0411 Ph: (270) 273-3000 | Dr Mallory Sanderfur Roberts, OD 255 Main St, Calhoun, KY 42327-2104 Ph: (270) 273-3000 |
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