Henry M Roque, MD in San Bruno, CA - Medicare Internal Medicine

Henry M Roque, MD is a medicare enrolled "Internal Medicine" physician in San Bruno, California. His current practice location is 1100 Grundy Ln, San Bruno, California. You can reach out to his office (for appointments etc.) via phone at (650) 227-1150.

Henry M Roque is licensed to practice in California (license number A63722) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821176595.

Contact Information

	Henry M Roque, MD
	1100 Grundy Ln, San Bruno, CA 94066-3065
	(650) 227-1150
	(650) 653-2510

Map and Direction

Physician's Profile

Full Name	Henry M Roque
Gender	Male
Speciality	Internal Medicine
Location	1100 Grundy Ln, San Bruno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821176595
Provider Enumeration Date: 11/01/2006
Last Update Date: 06/04/2024

Medicare PECOS Information:

PECOS PAC ID: 1052509551
Enrollment ID: I20101228000661

Medical Identifiers

Medical identifiers for Henry M Roque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821176595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A63722 (California)	Primary

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. Henry M Roque allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Henry M Roque 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
Henry M Roque, MD 1100 Grundy Ln, San Bruno, CA 94066-3065 Ph: (650) 653-2510	Henry M Roque, MD 1100 Grundy Ln, San Bruno, CA 94066-3065 Ph: (650) 227-1150

Reviews and Comments

Internal Medicine Doctors in San Bruno, CA

Laura Breckenridge, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln, Suite 104, San Bruno, CA 94066 Phone: 650-873-4545 Fax: 650-873-4544
Jade Ramos-poblete, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 El Camino Real, San Bruno, CA 94066 Phone: 650-742-2100
Virginia Esther Dzul-church, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 Sneath Ln Ste 3003, San Bruno, CA 94066 Phone: 650-615-6000
Mohammad H Ranginwala, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1011 Sneath Ln, San Bruno, CA 94066 Phone: 650-742-2000

Henry M Roque, MD - Medicare Internal Medicine in San Bruno, CA