Daeyoung D Roh, MD is a medicare enrolled "Hospitalist" physician in Centennial, Colorado. His current practice location is
15492 E Prentice Dr, Centennial, Colorado. You can reach out to his office (for appointments etc.) via phone at
(817) 296-9180.
Daeyoung D Roh is licensed to practice in California (license number G62251) 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 1619920675.
Physician's Profile
| Full Name | Daeyoung D Roh |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 15492 E Prentice Dr, Centennial, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619920675
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 10/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103893524
- Enrollment ID: I20060510000204
Medical Identifiers
Medical identifiers for Daeyoung D Roh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619920675 | NPI | - | NPPES |
| 179849805 | Medicaid | TX | |
| 179849802 | Medicaid | TX | |
| 179849803 | Medicaid | TX | |
| 179849801 | Medicaid | TX | |
| 8S5106 | Other | TX | BCBS |
| 63503514 | Other | CO | MEDICAID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | DR.0051910 (Colorado) | Secondary |
| 207R00000X | Internal Medicine | G62251 (California) | Secondary |
| 207R00000X | Internal Medicine | M3075 (Texas) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | M3075 (Texas) | Secondary |
| 208M00000X | Hospitalist | G62251 (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. Daeyoung D Roh allows following entities to bill medicare on his behalf.
| Entity Name | Inpatient Physician Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285696898
PECOS PAC ID: 1759379092
Enrollment ID: O20040504001613 |
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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. Daeyoung D Roh 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 |
|---|
Daeyoung D Roh, MD
15492 E Prentice Dr,
Centennial, CO 80015-4267
Ph: (817) 296-9180 | Daeyoung D Roh, MD
15492 E Prentice Dr,
Centennial, CO 80015-4267
Ph: (817) 296-9180 |
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