Jonathon R Roullard, CAA is a medicare enrolled "Anesthesiologist Assistant" in Carmel, Indiana. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Us Anesthesia Partners Of Colorado Inc, Indiana University Health Care Associates Inc and his current practice location is
11700 N Meridian St, Carmel, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 577-4200.
Jonathon R Roullard is licensed to practice in Indiana (license number 75000146A) 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 1124556261.
Provider's Profile
Full Name | Jonathon R Roullard |
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Gender | Male |
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Speciality | Anesthesiology Assistant |
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Experience | 7 Years |
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Location | 11700 N Meridian St, Carmel, Indiana |
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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:
- Jonathon R Roullard graduated from nursing school in 2017
NPI Data:
- NPI Number: 1124556261
- Provider Enumeration Date: 06/02/2017
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022363712
- Enrollment ID: I20200818003204
Medical Identifiers
Medical identifiers for Jonathon R Roullard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124556261 | NPI | - | NPPES |
23865827 | Other | | NCCAA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367H00000X | Anesthesiologist Assistant | 23865827 (* (Not Available)) | Secondary |
367H00000X | Anesthesiologist Assistant | 75000146A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Us Anesthesia Partners Of Colorado Inc | 6002072055 | 570 |
Indiana University Health Care Associates Inc | 5799755864 | 882 |
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. Jonathon R Roullard allows following entities to bill medicare on his behalf.
Entity Name | Us Anesthesia Partners Of Colorado Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
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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. Jonathon R Roullard 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 |
Jonathon R Roullard, CAA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Jonathon R Roullard, CAA 11700 N Meridian St, Carmel, IN 46032-4656 Ph: (317) 577-4200 |
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