Dr Kristin R Roller, MD - Medicare Family Practice in Fayetteville, AR

Dr Kristin R Roller, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Arkansas. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Roller Weight Loss Institute, Inc. and her current practice location is 1280 E Stearns St, Suite 5, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 445-6460.

Dr Kristin R Roller is licensed to practice in North Carolina (license number 200600845) 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 1871503508.

Contact Information

Dr Kristin R Roller, MD
1280 E Stearns St, Suite 5,
Fayetteville, AR 72703-6241
(479) 445-6460
(479) 445-6719

Map and Direction




Physician's Profile

Full NameDr Kristin R Roller
GenderFemale
SpecialityFamily Practice
Experience21 Years
Location1280 E Stearns St, Fayetteville, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kristin R Roller attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2003
  NPI Data:
  • NPI Number: 1871503508
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 10/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8022175835
  • Enrollment ID: I20090323000501

Medical Identifiers

Medical identifiers for Dr Kristin R Roller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871503508NPI-NPPES
BR9149572OtherNCUPIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 200600845 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Roller Weight Loss Institute, Inc.044639877022

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 Kristin R Roller allows following entities to bill medicare on her behalf.
Entity NameRoller Weight Loss Institute, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073743399
PECOS PAC ID: 0446398770
Enrollment ID: O20091106000368

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 Kristin R Roller 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 AddressPractice Location Address
Dr Kristin R Roller, MD
1280 E Stearns St, Suite 5,
Fayetteville, AR 72703-6241

Ph: (479) 445-6460
Dr Kristin R Roller, MD
1280 E Stearns St, Suite 5,
Fayetteville, AR 72703-6241

Ph: (479) 445-6460

Reviews and Comments


Family Medicine Doctors in Fayetteville, AR

Mr. Eric P B Goodspeed, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703
Phone: 479-463-7102    Fax: 479-463-7864
Dustin Hoover, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 767 W North St, Fayetteville, AR 72701
Phone: 479-966-5088    Fax: 479-282-0469
Dr. Larry D Coker, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704
Phone: 479-757-5056    Fax: 479-757-5057
Dr. Carol A Fossey, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 525 N Garland Ave, Fayetteville, AR 72701
Phone: 479-575-6479    Fax: 479-575-8793
Alfred Y Gordon, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703
Phone: 479-443-3536    Fax: 479-443-3933
Stanley Bradley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 E Longview Street, Fayetteville, AR 72703
Phone: 479-463-7385    Fax: 479-444-7120
Miss Marielie Heidi Agesilas, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1125 N College Ave, Fayetteville, AR 72703
Phone: 479-521-8260    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.