Jenna Elizabeth Roller, PA-C is a
Physician Assistant - Surgical physician based in Hilton Head, South Carolina. Jenna Elizabeth Roller is licensed to practice in Maryland (license number C0004965) and her current practice location is 15 Moss Creek Vlg, Hilton Head, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 681-5077.
NPI number for Jenna Elizabeth Roller is 1548509052 and her current mailing address is 7419 Kimbark Ct, Apt. E, Rosedale, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548509052.
Physician's Profile
| Full Name | Jenna Elizabeth Roller |
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| Gender | Female |
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| Speciality | Physician Assistant - Surgical |
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| Location | 15 Moss Creek Vlg, Hilton Head, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548509052
- Provider Enumeration Date: 02/04/2013
- Last Update Date: 03/31/2018
Medical Identifiers
Medical identifiers for Jenna Elizabeth Roller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548509052 | NPI | - | NPPES |
| 11011359 | Other | | NCCPA |
| C0004965 | Other | | MARYLAND BOARD OF PHYSICIANS |
| 2950 | Other | SC | SC PA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 2950 (South Carolina) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | C0004965 (Maryland) | 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. Jenna Elizabeth Roller 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 |
|---|
Jenna Elizabeth Roller, PA-C
7419 Kimbark Ct, Apt. E,
Rosedale, MD 21237-3736
Ph: (610) 417-0273 | Jenna Elizabeth Roller, PA-C
15 Moss Creek Vlg,
Hilton Head, SC 29926-1105
Ph: (843) 681-5077 |
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