| Kyle Carlsen Roche, | |
|
4420 Lake Boone Trl, Raleigh, NC 27607-7505 | |
| (919) 784-7093 | |
| Not Available |
| Full Name | Kyle Carlsen Roche |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 4420 Lake Boone Trl, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538740642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2024-02220 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 2024-02220 (North Carolina) | Primary |
| Entity Name | Rex Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144248683 PECOS PAC ID: 0840109864 Enrollment ID: O20140613001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Carlsen Roche, 9405 Millkirk Cir, Wake Forest, NC 27587-8362 Ph: (980) 622-9502 | Kyle Carlsen Roche, 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-7093 |
Jill M Pappalardi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 | |
Lisa F Dejarnette, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 4420 Lake Boone Trail, Raleigh, NC 27607 Phone: 919-784-7093 Fax: 919-784-7395 | |
Dr. Jessica Lynn Virag, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-7093 | |
Julie A. Czech, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 | |
Dr. Jewook Ha, M Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-7093 | |
Mr. Rollin Desauguste, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 | |
Muhammad Nawaz Ahmed, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 |