| Michael P Roberts Md Pa | |
|
369 N Main St Crestview FL 32536-3541 | |
| (850) 398-6963 | |
| (850) 398-8277 |
| Full Name | Michael P Roberts Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 369 N Main St, Crestview, Florida |
| Authorized Official Name and Position | Michael P Roberts (OWNER / PHYSICIAN) |
| Authorized Official Contact | 8503986963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Roberts Md Pa 369 N Main St Crestview FL 32536-3541 Ph: (850) 398-6963 | Michael P Roberts Md Pa 369 N Main St Crestview FL 32536-3541 Ph: (850) 398-6963 |
| NPI Number | 1093971061 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 07/30/2008 |
| Medicare PECOS PAC ID | 8426125311 |
|---|---|
| Medicare Enrollment ID | O20080918000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093971061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lauren Adkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740217728 PECOS PAC ID: 3577643998 Enrollment ID: I20080110000212 |
| Provider Name | Michael P Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972691368 PECOS PAC ID: 2365519253 Enrollment ID: I20080918000145 |
| Provider Name | Aliason Heather Martin-overton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396829990 PECOS PAC ID: 5799879557 Enrollment ID: I20090226000014 |
| Provider Name | Celestine Ann Mararac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919764 PECOS PAC ID: 9537306733 Enrollment ID: I20130903000798 |
| Provider Name | Frank Duncan Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508804733 PECOS PAC ID: 6507879640 Enrollment ID: I20130909000545 |
| Provider Name | Peerach Phermsangngam Ewings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144280629 PECOS PAC ID: 2062764533 Enrollment ID: I20181010003323 |
| Provider Name | Joe E Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134698491 PECOS PAC ID: 9931447034 Enrollment ID: I20190215000599 |
| Provider Name | Jeremy Harrison Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922629591 PECOS PAC ID: 9032531991 Enrollment ID: I20200623000237 |
| Provider Name | Ceselly Layne Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194347997 PECOS PAC ID: 2668899642 Enrollment ID: I20200908000368 |
| Provider Name | Nicholas Steckler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801386578 PECOS PAC ID: 0042569790 Enrollment ID: I20220422001196 |
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