Kelly Roden, MD - Medicare Family Practice in Tyler, TX

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Kelly Roden, MD is a medicare enrolled "Family Medicine" physician in Tyler, Texas. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Nocona Medical Clinic, P.a., Nocona Hospital District and her current practice location is 11937 Us Highway 271, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 877-7200.

Kelly Roden is licensed to practice in Texas (license number R5198) 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 1730538513.

Contact Information

Kelly Roden, MD
11937 Us Highway 271,
Tyler, TX 75708-3154
(903) 877-7200
Not Available

Map and Direction




Physician's Profile

Full NameKelly Roden
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location11937 Us Highway 271, Tyler, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Roden attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1730538513
  • Provider Enumeration Date: 06/13/2016
  • Last Update Date: 02/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820380801
  • Enrollment ID: I20180806000776

Medical Identifiers

Medical identifiers for Kelly Roden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730538513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine BP10057148 (Texas)Secondary
207Q00000XFamily Medicine R5198 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Nocona General Hospital Home And Community SupportNocona, TXHome health agency
Angels Care Home HealthWichita falls, TXHome health agency
Healing Hands Healthcare LlcWichita falls, TXHome health agency
Nocona General HospitalNocona, TXHospital
United Regional Health Care SystemWichita falls, TXHospital
Grace Care Center Of NoconaNocona, TXNursing home
Advanced Rehabilitation And Healthcare Of BowieBowie, TXNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nocona Medical Clinic, P.a.30726613545
Nocona Hospital District53957861808

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. Kelly Roden allows following entities to bill medicare on her behalf.
Entity NameNocona Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972684827
PECOS PAC ID: 5395786180
Enrollment ID: O20050523000331
Entity NameNocona Medical Clinic, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750501417
PECOS PAC ID: 3072661354
Enrollment ID: O20110209000209
Entity NameTexas Spine And Joint Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942292255
PECOS PAC ID: 0345272381
Enrollment ID: O20111102000147

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. Kelly Roden 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 AddressPractice Location Address
Kelly Roden, MD
Po Box 731912,
Dallas, TX 75373-1912

Ph: (903) 877-7200		Kelly Roden, MD
11937 Us Highway 271,
Tyler, TX 75708-3154

Ph: (903) 877-7200

Reviews and Comments


Family Medicine Doctors in Tyler, TX

Dr. John W Scroggins, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 8288 S Broadway Ave, Tyler, TX 75703
Phone: 903-606-7060    
Dr. James Kent Gray, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707
Phone: 903-655-0880    Fax: 903-654-6415
Dr. Eric R Smith, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3802 Manhatton, Tyler, TX 75701
Phone: 903-509-8888    
Michele C Bosworth, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7777    Fax: 903-877-5080
Dr. James A Lively, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3802 Manhatton Dr, Tyler, TX 75701
Phone: 903-509-8888    
Steven J Cohen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1327 Troup Hwy, Tyler, TX 75701
Phone: 903-510-8764    
Andrea M Ellis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8288 S Broadway Ave, Tyler, TX 75703
Phone: 903-606-7060    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.