Anthony Roach, PC-IT, SW in Brown Deer, WI - Medicare Counselor Provider

Anthony Roach, PC-IT, SW is a medicare enrolled "Counselor - Professional" provider in Brown Deer, Wisconsin. His current practice location is 3900 W Brown Deer Rd, Ste 200, Brown Deer, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 540-2170.

Anthony Roach is licensed to practice in Wisconsin (license number 1281-226) 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 1083968200.

Contact Information

	Anthony Roach, PC-IT, SW
	3900 W Brown Deer Rd, Ste 200, Brown Deer, WI 53209-1220
	(414) 540-2170
	(414) 540-2171

Map and Direction

Healthcare Provider's Profile

Full Name	Anthony Roach
Gender	Male
Speciality	Counselor - Professional
Location	3900 W Brown Deer Rd, Brown Deer, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083968200
Provider Enumeration Date: 11/09/2012
Last Update Date: 11/09/2012

Medicare PECOS Information:

PECOS PAC ID: 9537510391
Enrollment ID: I20240105003918

Medical Identifiers

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

Identifier	Type	State	Issuer
1083968200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1281-226 (Wisconsin)	Primary
104100000X	Social Worker	7196-120 (Wisconsin)	Secondary

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. Anthony Roach allows following entities to bill medicare on his behalf.

Entity Name	Shorehaven Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598800740 PECOS PAC ID: 0143324954 Enrollment ID: O20070404000380

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. Anthony 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
Anthony Roach, PC-IT, SW 3900 W Brown Deer Rd, Ste 200, Brown Deer, WI 53209-1220 Ph: (414) 540-2170	Anthony Roach, PC-IT, SW 3900 W Brown Deer Rd, Ste 200, Brown Deer, WI 53209-1220 Ph: (414) 540-2170

Reviews and Comments

Counselor in Brown Deer, WI

Kyle Egerdal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209 Phone: 414-540-2170
Zoe Faivre Werth, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-2170 Fax: 414-540-2171
Virginia G Livingston, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7646 N Teutonia Ave, Brown Deer, WI 53209 Phone: 414-979-2155
Jenna Mohelnitzky, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209 Phone: 414-540-2170
Ms. Wendy Ann Diehls, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-2170 Fax: 414-540-2171
Ms. Kristin Ann Johnson, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-2170 Fax: 414-540-2171
Ramona Lewis, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 W Brown Deer Rd, Suite 300a, Brown Deer, WI 53223 Phone: 414-362-8147 Fax: 414-362-7198

Anthony Roach, PC-IT, SW - Medicare Counselor in Brown Deer, WI