Dr Theodore P Roman, MD is a
Family Medicine physician based in Eagle Butte, South Dakota. Dr Theodore P Roman is licensed to practice in South Dakota (license number 0527) and his current practice location is 317 Main Street, Eagle Butte, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 964-3007.
NPI number for Dr Theodore P Roman is 1659518983 and his current mailing address is Po Box 1012, Eagle Butte, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659518983.
Physician's Profile
| Full Name | Dr Theodore P Roman |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 317 Main Street, Eagle Butte, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659518983
- Provider Enumeration Date: 01/08/2009
- Last Update Date: 01/08/2009
Medical Identifiers
Medical identifiers for Dr Theodore P Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659518983 | NPI | - | NPPES |
| 0527 | Other | SD | SD PHYSICIAN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0527 (South Dakota) | Primary |
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 Theodore P Roman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Theodore P Roman, MD
Po Box 1012,
Eagle Butte, SD 57625-1012
Ph: (605) 964-3007 | Dr Theodore P Roman, MD
317 Main Street,
Eagle Butte, SD 57625
Ph: (605) 964-3007 |
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