Ms Kimberly Roberson, PA in Kenosha, WI - Medicare Physician Assistant

Ms Kimberly Roberson, PA is a medicare enrolled "Physician Assistant" physician in Kenosha, Wisconsin. Her current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 948-5600.

Ms Kimberly Roberson is licensed to practice in Wisconsin (license number 1708) 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 1083666796.

Contact Information

	Ms Kimberly Roberson, PA
	10400 75th St, Kenosha, WI 53142-7884
	(262) 948-5600
	Not Available

Physician's Profile

Full Name	Ms Kimberly Roberson
Gender	Female
Speciality	Physician Assistant
Location	10400 75th St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083666796
Provider Enumeration Date: 05/17/2006
Last Update Date: 01/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1153302989
Enrollment ID: I20040527000671

Medical Identifiers

Medical identifiers for Ms Kimberly Roberson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083666796	NPI	-	NPPES
007806261U	Other		HUMANA
41986600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	1708 (Wisconsin)	Secondary
363AS0400X	Physician Assistant - Surgical	1708 (Wisconsin)	Secondary
363A00000X	Physician Assistant	1708 (Wisconsin)	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. Ms Kimberly Roberson 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
Ms Kimberly Roberson, PA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Ms Kimberly Roberson, PA 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5600

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Ms Kimberly Roberson, PA - Medicare Physician Assistant in Kenosha, WI