Dr Thomas A Roisum, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Hannibal, Missouri. He went to University Of North Dakota School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Mawd Pathology Group Pa, Dubois Regional Medical Center and his current practice location is
6470 Interstate Ct, Hannibal, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 248-0826.
Dr Thomas A Roisum is licensed to practice in Missouri (license number 109630) 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 1528171964.
Physician's Profile
| Full Name | Dr Thomas A Roisum |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 29 Years |
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| Location | 6470 Interstate Ct, Hannibal, Missouri |
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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 Thomas A Roisum attended and graduated from University Of North Dakota School Of Medicine in 1995
NPI Data:
- NPI Number: 1528171964
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 06/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345347753
- Enrollment ID: I20220516002777
Medical Identifiers
Medical identifiers for Dr Thomas A Roisum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528171964 | NPI | - | NPPES |
| 1C220032011 | Other | MO | RAILROAD MEDICARE |
| 205703408 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 36424 (Iowa) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 15065 (North Dakota) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD479037 (Pennsylvania) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 109630 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mawd Pathology Group Pa | 2668421389 | 38 |
| Dubois Regional Medical Center | 5890689715 | 349 |
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 Thomas A Roisum allows following entities to bill medicare on his behalf.
| Entity Name | Mawd Pathology Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033108519
PECOS PAC ID: 2668421389
Enrollment ID: O20180924000194 |
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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 Thomas A Roisum 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 |
|---|
Dr Thomas A Roisum, MD
261 Hummingbird Ln,
Hannibal, MO 63401-6931
Ph: (573) 231-0130 | Dr Thomas A Roisum, MD
6470 Interstate Ct,
Hannibal, MO 63401-6759
Ph: (573) 248-0826 |
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