| Dr Donald Jay Roshan Jr, DO | |
|
1060 W 10th St, Rolla, MO 65401-2905 | |
| (855) 406-3324 | |
| (573) 458-8363 |
| Full Name | Dr Donald Jay Roshan Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 7 Years |
| Location | 1060 W 10th St, Rolla, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669039665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2024024347 (Missouri) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pcrmc Medical Group Inc | 1557454063 | 114 |
| Entity Name | Phelps County Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
| Entity Name | Pcrmc Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald Jay Roshan Jr, DO 1050 W 10th St, Rolla, MO 65401-2905 Ph: (573) 364-9000 | Dr Donald Jay Roshan Jr, DO 1060 W 10th St, Rolla, MO 65401-2905 Ph: (855) 406-3324 |
David Moravec, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1060 W 10th St, Rolla, MO 65401 Phone: 855-406-3324 Fax: 573-458-8363 | |
Tracy L Mccoy Maloskey, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1060 W 10th St, Rolla, MO 65401 Phone: 573-426-2860 Fax: 573-202-2405 | |
Dana D Voight, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1060 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 | |
Lowell R Fisher, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-8822 Fax: 573-341-5969 |