Emma Rae Roots, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ione, California. Her current practice location is
305 Preston Ave, Ione, California. You can reach out to her office (for appointments etc.) via phone at
(209) 674-6182.
Emma Rae Roots is licensed to practice in California (license number 95029063) 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 1841054400.
Provider's Profile
| Full Name | Emma Rae Roots |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 305 Preston Ave, Ione, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841054400
- Provider Enumeration Date: 02/13/2024
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385080944
- Enrollment ID: I20240308002256
Medical Identifiers
Medical identifiers for Emma Rae Roots such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841054400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95029063 (California) | Primary |
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. Emma Rae Roots allows following entities to bill medicare on her behalf.
| Entity Name | M A C T Health Board Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366519431
PECOS PAC ID: 8325936974
Enrollment ID: O20040305001143 |
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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. Emma Rae Roots 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 |
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Emma Rae Roots, FNP
444 Eagle Dr,
Ione, CA 95640-4504
Ph: (209) 610-9418 | Emma Rae Roots, FNP
305 Preston Ave,
Ione, CA 95640-9158
Ph: (209) 674-6182 |
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