Theodus Marques Roach, LCSW in Indian Trail, NC - Medicare Social Worker Provider

Theodus Marques Roach, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Indian Trail, North Carolina. His current practice location is 210 Postage Way #1772, Indian Trail, North Carolina. You can reach out to his office (for appointments etc.) via phone at (980) 338-5563.

Theodus Marques Roach is licensed to practice in North Carolina (license number C005319) 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 1154340768.

Contact Information

	Theodus Marques Roach, LCSW
	210 Postage Way #1772, Indian Trail, NC 28079-9701
	(980) 338-5563
	(704) 228-0260

Map and Direction

Healthcare Provider's Profile

Full Name	Theodus Marques Roach
Gender	Male
Speciality	Social Worker - Clinical
Location	210 Postage Way #1772, Indian Trail, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154340768
Provider Enumeration Date: 07/18/2006
Last Update Date: 02/17/2025

Medicare PECOS Information:

PECOS PAC ID: 6608967203
Enrollment ID: I20070810000775

Medical Identifiers

Medical identifiers for Theodus Marques Roach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154340768	NPI	-	NPPES
6106359	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	65730 (Texas)	Secondary
1041C0700X	Social Worker - Clinical	C005319 (North Carolina)	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. Theodus Marques Roach allows following entities to bill medicare on his behalf.

Entity Name	Daymark Recovery Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213

Entity Name	Monarch
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281

Entity Name	Ethos Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639806359 PECOS PAC ID: 3274079082 Enrollment ID: O20240729000480

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. Theodus Marques Roach 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
Theodus Marques Roach, LCSW 1006 Sebastian Ct, Indian Trail, NC 28079-3688 Ph: (980) 338-5563	Theodus Marques Roach, LCSW 210 Postage Way #1772, Indian Trail, NC 28079-9701 Ph: (980) 338-5563

Reviews and Comments

Social Worker in Indian Trail, NC

Aubry Mcmahon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5008 West St, Indian Trail, NC 28079 Phone: 980-275-1670
Emma Rice, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Unionville Indian Trail Rd W Ste B202, Indian Trail, NC 28079 Phone: 704-234-8003
Lindelly Rajo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1009 Bikar Ct, Indian Trail, NC 28079 Phone: 707-787-6773
Judith Marie Steverson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Unionville Indian Trail Rd W Ste C100, Indian Trail, NC 28079 Phone: 704-438-9901
Emily Kay Spangler, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Unionville Indian Trail Rd W Ste C100, Indian Trail, NC 28079 Phone: 704-438-9901
Ms. Beverly Jeanne Wright, LCSW, CASAC, CEAP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2014 Old Evergreen Pkwy, Indian Trail, NC 28079 Phone: 631-423-6809 Fax: 631-423-8446

Theodus Marques Roach, LCSW - Medicare Clinical Social Worker in Indian Trail, NC