Mr Arthur Thomas Roach, PA-C - Physician Assistant in Horn Lake, MS

Mr Arthur Thomas Roach, PA-C is a Physician Assistant - Medical based in Horn Lake, Mississippi. Mr Arthur Thomas Roach is licensed to practice in Mississippi (license number PA-025) and his current practice location is 3040 Goodman Road, Suite C, Horn Lake, Mississippi. He can be reached at his office (for appointments etc.) via phone at (662) 280-3428.

NPI number for Mr Arthur Thomas Roach is 1619967478 and his current mailing address is 5185 Nail Road, Olive Branch, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619967478.

Contact Information

Mr Arthur Thomas Roach, PA-C
3040 Goodman Road, Suite C,
Horn Lake, MS 38637-1189
(662) 280-3428
(662) 280-1736



Provider's Profile

Full NameMr Arthur Thomas Roach
GenderMale
SpecialityPhysician Assistant - Medical
Location3040 Goodman Road, Suite C, Horn Lake, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619967478
  • Provider Enumeration Date: 10/24/2005
  • Last Update Date: 11/20/2009

Medical Identifiers

Medical identifiers for Mr Arthur Thomas Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619967478NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA-025 (Mississippi)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. Mr Arthur Thomas Roach is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Arthur Thomas Roach, PA-C
5185 Nail Road,
Olive Branch, MS 38654-8245

Ph: (662) 895-6738
Mr Arthur Thomas Roach, PA-C
3040 Goodman Road, Suite C,
Horn Lake, MS 38637-1189

Ph: (662) 280-3428

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