Lydia Grace Roward, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Trauma" physician in Jbsa-ft Sam Houston, Texas. Her current practice location is
3551 Roger Brooke Drive, Jbsa-ft Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 916-1284.
Lydia Grace Roward is licensed to practice in South Carolina (license number 92082) 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 1578024170.
Physician's Profile
| Full Name | Lydia Grace Roward |
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| Gender | Female |
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| Speciality | Orthopaedic Surgery - Orthopaedic Trauma |
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| Location | 3551 Roger Brooke Drive, Jbsa-ft Sam Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578024170
- Provider Enumeration Date: 03/26/2019
- Last Update Date: 08/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779022371
- Enrollment ID: I20240827003892
Medical Identifiers
Medical identifiers for Lydia Grace Roward such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578024170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 92082 (South Carolina) | Secondary |
| 208D00000X | General Practice | 0101271452 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 92082 (South Carolina) | 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. Lydia Grace Roward allows following entities to bill medicare on her behalf.
| Entity Name | Prisma Health University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238 |
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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. Lydia Grace Roward 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 |
|---|
Lydia Grace Roward, MD
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: (210) 916-7500 | Lydia Grace Roward, MD
3551 Roger Brooke Drive,
Jbsa-ft Sam Houston, TX 78234-4504
Ph: (210) 916-1284 |
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