Mr Luke Cody Roy, FNP-BC in La Mesa, CA - Medicare Nurse Practitioner

Mr Luke Cody Roy, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in La Mesa, California. His current practice location is 5555 Grossmont Center Dr, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 740-3058.

Mr Luke Cody Roy is licensed to practice in California (license number NP95011115) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235696964.

Contact Information

	Mr Luke Cody Roy, FNP-BC
	5555 Grossmont Center Dr, La Mesa, CA 91942-3019
	(619) 740-3058
	(619) 740-3967

Map and Direction

Provider's Profile

Full Name	Mr Luke Cody Roy
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5555 Grossmont Center Dr, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235696964
Provider Enumeration Date: 02/28/2019
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 1850774845
Enrollment ID: I20220824002498

Medical Identifiers

Medical identifiers for Mr Luke Cody Roy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235696964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	786655 (California)	Secondary
163WE0003X	Registered Nurse - Emergency	B01084732 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	NP95011115 (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. Mr Luke Cody Roy allows following entities to bill medicare on his behalf.

Entity Name	Fadi A Haddad Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053590349 PECOS PAC ID: 7719068493 Enrollment ID: O20080118000700

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 Luke Cody Roy 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
Mr Luke Cody Roy, FNP-BC 4320 Mayapan Dr, La Mesa, CA 91941-7142 Ph: (619) 335-6799	Mr Luke Cody Roy, FNP-BC 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 740-3058

Reviews and Comments

Nurse Practitioner Nurses in La Mesa, CA

Miss April Julia Brewster, PMHNP-BC, APRN, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-296-6182
Farhana Maswood, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5332 Jackson Dr, La Mesa, CA 91942 Phone: 619-303-0933
Hoda Melissa Kashikar, RN, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy, Suite 360, La Mesa, CA 91942 Phone: 619-460-2700
Chelsea Provenzano, MSN, FNP- C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8851 Center Dr Ste 408, La Mesa, CA 91942 Phone: 619-583-1174 Fax: 619-583-4609
Hannah Bradley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5111 Garfield St Ste B, La Mesa, CA 91941 Phone: 619-698-9375
Maja Ceranic, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8665 La Mesa Blvd, La Mesa, CA 91942 Phone: 619-465-0702
Stephanie Martinez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8690 Center Dr, La Mesa, CA 91942 Phone: 619-697-1325

Mr Luke Cody Roy, FNP-BC - Medicare Nurse Practitioner in La Mesa, CA