Dr Deno Dustin Rolin, MD, DNP, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Pensacola, Florida. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Poarch Band Of Creek Indians and his current practice location is
8100 N Davis Hwy, Pensacola, Florida. You can reach out to his office (for appointments etc.) via phone at
(866) 389-2727.
Dr Deno Dustin Rolin is licensed to practice in Florida (license number 9418362) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154840676.
Physician's Profile
| Full Name | Dr Deno Dustin Rolin |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 8100 N Davis Hwy, Pensacola, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Deno Dustin Rolin graduated from medical school in 2020
NPI Data:
- NPI Number: 1154840676
- Provider Enumeration Date: 09/15/2017
- Last Update Date: 01/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850651571
- Enrollment ID: I20230720000011
Medical Identifiers
Medical identifiers for Dr Deno Dustin Rolin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154840676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | HSE27055 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 77877 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3-001006 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9418362 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Poarch Band Of Creek Indians | 9830188085 | 13 |
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. Dr Deno Dustin Rolin allows following entities to bill medicare on his behalf.
| Entity Name | Poarch Band Of Creek Indians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902916489
PECOS PAC ID: 9830188085
Enrollment ID: O20150203002035 |
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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. Dr Deno Dustin Rolin 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 |
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Dr Deno Dustin Rolin, MD, DNP, APRN
5200 Highway 97,
Walnut Hill, FL 32568-2017
Ph: (954) 439-8723 | Dr Deno Dustin Rolin, MD, DNP, APRN
8100 N Davis Hwy,
Pensacola, FL 32514
Ph: (866) 389-2727 |
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