Dr Terry Mark Roman, DO is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Watertown, Wisconsin. He went to At Still University, Arizona School Of Dentistry & Oral Hlth and graduated in 2002 and has 22 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Watertown Physician Practices Llc and his current practice location is
123 Hospital Dr, Suite 1008, Watertown, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 206-6500.
Dr Terry Mark Roman is licensed to practice in Wisconsin (license number 54555-021) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083895312.
Physician's Profile
Full Name | Dr Terry Mark Roman |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 22 Years |
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Location | 123 Hospital Dr, Watertown, Wisconsin |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Terry Mark Roman attended and graduated from At Still University, Arizona School Of Dentistry & Oral Hlth in 2002
NPI Data:
- NPI Number: 1083895312
- Provider Enumeration Date: 11/15/2007
- Last Update Date: 08/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 0648317347
- Enrollment ID: I20101019000737
Medical Identifiers
Medical identifiers for Dr Terry Mark Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083895312 | NPI | - | NPPES |
1083895312 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 54555-021 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Watertown Physician Practices Llc | 8022329408 | 56 |
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 Terry Mark Roman allows following entities to bill medicare on his behalf.
Entity Name | Watertown Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
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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 Terry Mark Roman 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 Terry Mark Roman, DO 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3331 Ph: (920) 206-6500 | Dr Terry Mark Roman, DO 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3331 Ph: (920) 206-6500 |
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