Hanna Rebecca Roan, PA-C is a medicare enrolled "Dermatology" physician in Kew Gardens, New York. Her current practice location is
8002 Kew Gardens Rd Ste 107, Kew Gardens, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 459-0900.
Hanna Rebecca Roan is licensed to practice in New York (license number 030456) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588448112.
Physician's Profile
| Full Name | Hanna Rebecca Roan |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 8002 Kew Gardens Rd Ste 107, Kew Gardens, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588448112
- Provider Enumeration Date: 08/23/2023
- Last Update Date: 07/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840635694
- Enrollment ID: I20240422002995
Medical Identifiers
Medical identifiers for Hanna Rebecca Roan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588448112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 030456 (New York) | 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. Hanna Rebecca Roan 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 |
Hanna Rebecca Roan, PA-C 21340 Chirping Sparrow Rd, Diamond Bar, CA 91765-3701 Ph: () - | Hanna Rebecca Roan, PA-C 8002 Kew Gardens Rd Ste 107, Kew Gardens, NY 11415-3609 Ph: (718) 459-0900 |
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