Luis Pablo Roldan, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Celebration, Florida. His current practice location is
410 Celebration Pl Ste 100, Celebration, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 939-3000.
Luis Pablo Roldan is licensed to practice in * (Not Available) (license number ) 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 1699271536.
Physician's Profile
Full Name | Luis Pablo Roldan |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 410 Celebration Pl Ste 100, Celebration, Florida |
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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: 1699271536
- Provider Enumeration Date: 03/31/2018
- Last Update Date: 08/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496118515
- Enrollment ID: I20230822004211
Medical Identifiers
Medical identifiers for Luis Pablo Roldan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699271536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | ME163609 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Luis Pablo Roldan allows following entities to bill medicare on his behalf.
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
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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. Luis Pablo Roldan 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 |
Luis Pablo Roldan, 8500 Red Sky Pl Ne, Albuquerque, NM 87111-1048 Ph: (505) 488-1586 | Luis Pablo Roldan, 410 Celebration Pl Ste 100, Celebration, FL 34747-5432 Ph: (321) 939-3000 |
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