Ms Roxanne D Dudley, RN, PMHNP-BC, LPC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Jacksonville, Texas. She graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Austin Travis County Mental Health And Mental Retardation Center and her current practice location is
1011 College Ave, Jacksonville, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 589-9000.
Ms Roxanne D Dudley is licensed to practice in Texas (license number AP134786) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922244904.
Healthcare Provider's Profile
| Full Name | Ms Roxanne D Dudley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1011 College Ave, Jacksonville, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Roxanne D Dudley graduated from medical school in 2017
NPI Data:
- NPI Number: 1922244904
- Provider Enumeration Date: 12/23/2008
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092072470
- Enrollment ID: I20171121001182
Medical Identifiers
Medical identifiers for Ms Roxanne D Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922244904 | NPI | - | NPPES |
| 1268237-08 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | 62107 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP134786 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Austin Travis County Mental Health And Mental Retardation Center | 9133016306 | 49 |
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. Ms Roxanne D Dudley allows following entities to bill medicare on her behalf.
| Entity Name | Austin Travis County Mental Health And Mental Retardation Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750337259 PECOS PAC ID: 9133016306 Enrollment ID: O20040305000036 |
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| Entity Name | Anderson Cherokee Community Enrichment Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710015201 PECOS PAC ID: 4284718107 Enrollment ID: O20080229000537 |
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| Entity Name | Frank S Floca Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770878043 PECOS PAC ID: 3779754163 Enrollment ID: O20110915000032 |
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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. Ms Roxanne D Dudley 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 |
Ms Roxanne D Dudley, RN, PMHNP-BC, LPC 1011 College Ave, Jacksonville, TX 75766-3307 Ph: (512) 573-8026 | Ms Roxanne D Dudley, RN, PMHNP-BC, LPC 1011 College Ave, Jacksonville, TX 75766-3307 Ph: (903) 589-9000 |
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